Organization Active NPI

Frederick H. Watkins, M.D. P.C.

  • Specialist
  • Rockville, MD
National Provider Identifier
1417129701
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0059925 Issued in MD
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

Updated by the provider on Mar 27, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20081125000464 DC Part B Supplier - Clinic/Group Practice 6305906041 Receives reassigned benefits from 1 practitioner
Practice locations: Annapolis, MD; McLean, VA; Rockville, MD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.