Olde Towne Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OLDE TOWNE PRIMARY CARE LLC

Practice address

317 E Diamond Ave
C1
Gaithersburg, MD 20877-3093

Phone

(240) 246-1111

NPI assigned

Feb 1, 2016

Last updated

Oct 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rasha Bafi Saleem, MDNPI 1225132418

Title

Managing Owner

Phone

(202) 316-4407

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

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.

• Rasha Bafi Saleem, MD

  • Internal Medicine Physician
  • Gaithersburg, MD
  • NPI 1225132418

  DC

  Medicare reassignment Care Compare group Authorized official
• Ahmed Mustafa Saleem, MD

  • Internal Medicine Physician
  • Potomac, MD
  • NPI 1972675007

  DC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1417315813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E DIAMOND AVE",
            "address_2": "C1",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773093",
            "telephone_number": "240-246-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E DIAMOND AVE",
            "address_2": "C1",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773093",
            "telephone_number": "240-246-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDE TOWNE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "SALEEM",
        "authorized_official_first_name": "RASHA",
        "authorized_official_middle_name": "BAFI",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "202-316-4407",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Okeyo
• Dick Y Okino, DPM
• Chukwunonyeluanyi Okocha, MD
• Richard Okonkwo
• Ganiyat Olasumbo Anike Oladapo, M.D.
• Olde Towne Urgent Care, LLC
• Olgavarnachevallc
• Nwando Mary Olisa
• Olive Oasis Healthcare
• Shanita Oliver

• Primary Care Clinic/Center in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.