Organization Active NPI

Colin Ottey MD, PC

  • Primary Care Clinic/Center
  • Lanham, MD
National Provider Identifier
1386890358
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D52294 Issued in MD
Legal business name
COLIN OTTEY MD, PC
Practice address
8601 Martin Luther King Jr Hwy
Suite 2
Lanham, MD 20706-1500
Phone
(301) 773-6812
NPI assigned
Aug 11, 2008
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Colin Carlton Ottey, MDNPI 1649453101
Title
Ceo/President
Phone
(301) 773-6812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D52294 MD Primary

Addresses

Primary practice location

8601 Martin Luther King Jr Hwy
Suite 2
Lanham, MD 20706-1500

Mailing address

8601 Martin Luther King Jr Hwy
Suite 2
Lanham, MD 20706-1500
Phone (301) 773-6812

Other names 1

  • New Life Medical Other name

National Provider Directory

National Provider Directory

Locations

9171 Central Ave
Capitol Heights, MD 20743
Phone (301) 333-5802

8601 Martin Luther King Jr Hwy
Ste 2
Lanham, MD 20706
Phone (301) 773-6812

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1386890358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 MARTIN LUTHER KING JR HWY",
            "address_2": "SUITE 2",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061500",
            "telephone_number": "301-773-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 MARTIN LUTHER KING JR HWY",
            "address_2": "SUITE 2",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061500",
            "telephone_number": "301-773-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIN OTTEY MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "OTTEY",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "301-773-6812",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D52294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.