Washington Medical Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R142632 Issued in MD

Legal business name

WASHINGTON MEDICAL CLINIC, LLC

Doing business as

Washington Medical Clinic, LLC

Practice address

12510 Prosperity Dr
Suite # 320
Silver Spring, MD 20904-1663

Phone

(301) 755-3380

Fax

(866) 596-1084

NPI assigned

Apr 9, 2015

Last updated

Apr 9, 2015By 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

Mrs. Elizabeth N. Obi, NURSE PRACTITIONERNPI 1891110623

Title

President /Owner

Phone

(301) 908-2116

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Washington Medical Clinic, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 3

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.

• Elizabeth Obi

  • Family Nurse Practitioner
  • Beltsville, MD
  • NPI 1891110623

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Mirabel Alumba, FNP

  • Family Nurse Practitioner
  • Washington, DC
  • NPI 1356732259
  Medicare reassignment Care Compare group NPD
• Odette Ndzelen, CRNP

  • Family Nurse Practitioner
  • Silver Spring, MD
  • NPI 1740057389
  NPD (past)

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1427444108",
    "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": "866-596-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 PROSPERITY DR",
            "address_2": "SUITE # 320",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041663",
            "telephone_number": "301-755-3380",
            "fax_number": "866-596-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "OBI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT /OWNER",
        "authorized_official_telephone_number": "301-908-2116",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R142632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY NURSE PRACTITONERS",
            "identifier": "F1213055",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Medical Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlin Wascher
• Washington Center for Personal Growth, LLC
• Washington Health Institute
• Washington Heart Rhythm Associates
• Washington Medical Clinic Inc
• Washington Nephrology Associates, L.L.P.
• Washington Orthopaedic & Spine Institute
• Washington Pastoral Counseling Service
• Washington Pediatric Dental
• Washington Surgery Center, LLC.

• Family Medicine Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.