NPIMap

Organization Active NPI

Women Kids & Teens Afterhours

  • Pediatrics Physician
  • Silver Spring, MD
National Provider Identifier
1346595824
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WOMEN KIDS & TEENS AFTERHOURS
Practice address
10313 Georgia Ave
Suite 210
Silver Spring, MD 20902-5006
Phone
(301) 592-0050
Fax
(301) 592-8005
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ngozi R Agwuna, M.D
Title
Member
Phone
(301) 592-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD Primary

Addresses

Primary practice location

10313 Georgia Ave
Suite 210
Silver Spring, MD 20902-5006

Mailing address

10313 Georgia Ave
Suite 210
Silver Spring, MD 20902-5006
Phone (301) 592-0050

Other names 1

  • WKTA-Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wkta-Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7500 Hanover Pkwy
Ste 202
Greenbelt, MD 20770
Phone (301) 220-0866

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1346595824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE",
            "address_2": "SUITE 210",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-592-0050",
            "fax_number": "301-592-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE",
            "address_2": "SUITE 210",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-592-0050",
            "fax_number": "301-592-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN KIDS & TEENS AFTERHOURS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "AGWUNA",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-592-0050",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WKTA-Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.