NPIMap

Organization Active NPI

Northside Medical Services Corporation

  • Contractor
  • Washington, DC
National Provider Identifier
1407187495
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MD 25334 Issued in DC
Legal business name
NORTHSIDE MEDICAL SERVICES CORPORATION
Practice address
4121 Minnesota Ave NE
Washington, DC 20019-3572
Phone
(202) 388-6000
Fax
(202) 388-6001
NPI assigned
Jan 15, 2010
Last updated
Jan 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Mr. Ralph O. Turner, RN
Title
Cheif Consulting Officer
Phone
(202) 388-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MD 25334 DC Primary

Addresses

Primary practice location

4121 Minnesota Ave NE
Washington, DC 20019-3572

Mailing address

4121 Minnesota Ave NE
Washington, DC 20019-3572
Phone (202) 388-6000

National Provider Directory

National Provider Directory
Tax ID family
Northside Medical Services Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1407187495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 MINNESOTA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193572",
            "telephone_number": "202-388-6000",
            "fax_number": "202-388-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 MINNESOTA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193572",
            "telephone_number": "202-388-6000",
            "fax_number": "202-388-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE MEDICAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CHEIF CONSULTING OFFICER",
        "authorized_official_telephone_number": "202-388-6000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "DC",
            "license": "MD 25334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.