Active NPI
Frederick H. Watkins, M.D. P.C.
- Specialist
- Rockville, MD
National Provider Identifier
1417129701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0059925
- Legal business name
- FREDERICK H. WATKINS, M.D. P.C.
- Practice address
- 3203 Tower Oaks Blvd Ste 200
Rockville, MD 20852-4260 - Phone
- (301) 656-6398
- NPI assigned
- Mar 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Shemuha
- Title
- Practice Manager
- Phone
- (301) 656-6398
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0059925 | MD | Primary |
Addresses
Primary practice location
3203 Tower Oaks Blvd Ste 200
Rockville, MD 20852-4260
Mailing address
3203 Tower Oaks Blvd Ste 200
Rockville, MD 20852-4260
Phone (301) 656-6398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6845 Elm St
#300
McLean, VA 22101
Phone (703) 442-4919
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1417129701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3203 TOWER OAKS BLVD STE 200",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524260",
"telephone_number": "301-656-6398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3203 TOWER OAKS BLVD STE 200",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524260",
"telephone_number": "301-656-6398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREDERICK H. WATKINS, M.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "SHEMUHA",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "301-656-6398"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D0059925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.