Metro Ipc Silver Spring, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD20115 Issued in MD

Legal business name

METRO IPC SILVER SPRING, LLC

Practice address

8484 Georgia Ave
Suite 1
Silver Spring, MD 20910-5604

Phone

(202) 641-4155

Fax

(301) 263-7761

NPI assigned

Jan 24, 2012

Last updated

Nov 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Timm

Title

Administrator

Phone

(202) 641-4155

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353628800000",
    "number": "1356612279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 GEORGIA AVE",
            "address_2": "SUITE 1",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105604",
            "telephone_number": "202-641-4155",
            "fax_number": "301-263-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 GEORGIA AVE",
            "address_2": "SUITE 1",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105604",
            "telephone_number": "202-641-4155",
            "fax_number": "301-263-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO IPC SILVER SPRING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-11-23",
        "status": "A",
        "authorized_official_last_name": "TIMM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "202-641-4155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "MD20115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126211400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabra Nicole Metheney
• Niels G Methlagl, PT
• Geraldine Metombe
• Metro Cardiovascular Associates, P.C.
• Metro Homes Healthcare Maryland Inc
• Metro Orthopedics and Sports Therapy
• Metro Surgical Center, Inc.
• Metro Urgent Dental
• Metropolitan Medical Supply
• Metropolitan Physical Therapy & Fitness Center, LLC

• Family Medicine Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.