NPIMap

Organization Active NPI

Med Clinic of MD

  • Rehabilitation Practitioner
  • Greenbelt, MD
National Provider Identifier
1346761533
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
MED CLINIC OF MD
Practice address
7855 Walker Dr Ste a
Greenbelt, MD 20770-3212
Phone
(240) 624-0900
NPI assigned
Jun 28, 2017
Last updated
Jun 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Authorized official

Name
Emma Cull
Title
Coo
Phone
(678) 469-5011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NU Primary

Addresses

Primary practice location

7855 Walker Dr Ste a
Greenbelt, MD 20770-3212

Mailing address

5821 Southwest Fwy Ste 550
Houston, TX 77057-7531

National Provider Directory

National Provider Directory

Locations

7855 Walker Dr
Ste A
Greenbelt, MD 20770
Phone (240) 624-0900

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498608000000",
    "number": "1346761533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 SOUTHWEST FWY STE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 WALKER DR STE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703212",
            "telephone_number": "240-624-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CLINIC OF MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-469-5011"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.