Old Branch Health Care

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DD36306 Issued in MD

Legal business name

OLD BRANCH HEALTH CARE

Practice address

4333 Old Branch Ave
Temple Hills, MD 20748-1848

Phone

(301) 899-5140

Fax

(301) 899-5153

NPI assigned

Jun 2, 2011

Organization subpart

No

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

Authorized official

Name

Terrie L Ballenger

Title

Administrator

Phone

(301) 899-5140

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1366736779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6396",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207926396",
            "telephone_number": "301-899-5140",
            "fax_number": "301-899-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 OLD BRANCH AVE",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481848",
            "telephone_number": "301-899-5140",
            "fax_number": "301-899-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD BRANCH HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "BALLENGER",
        "authorized_official_first_name": "TERRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-899-5140"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0054991",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0046312",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0019935",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "DD36306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chilo N Obianwu, DMD
• Opeyemi Abosede Odumeru I
• Calista Ogbu, DNP
• Chideha Macdonald Ohuoha, MD, MPH
• Ukamaka A. Okeke, PMHNP-BC
• On Time Home Health Services
• Organik Nordaz LLC
• Stephanie Ortiz
• Grace Osighala
• Chinyenum Maureen Otuya

• Pediatrics Physician in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.