Organization Active NPI

Washington Medical Clinic Inc

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1417700717
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WASHINGTON MEDICAL CLINIC INC
Practice address
10230 New Hampshire Ave Ste 340
Silver Spring, MD 20903-1400
Phone
(301) 750-8000
Fax
(301) 326-4545
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Elizabeth Nwakego Obi, NPNPI 1891110623
Title
Owner
Phone
(301) 908-2116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10230 New Hampshire Ave Ste 340
Silver Spring, MD 20903-1400

Mailing address

12515 Old Gunpowder Rd
Beltsville, MD 20705-1151
Phone (301) 908-2116

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2119941Washington Medical Clinic, LLC10230 New Hampshine Ave #340, Silver Spring, MD 20903Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14054/brand/1/csg/1/fhir/r4

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": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1417700717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12515 OLD GUNPOWDER RD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051151",
            "telephone_number": "301-908-2116",
            "fax_number": "301-326-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 NEW HAMPSHIRE AVE STE 340",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031400",
            "telephone_number": "301-750-8000",
            "fax_number": "301-326-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "OBI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "NWAKEGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-908-2116",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.