Active NPI
Family Medicine of Gaithersburg
- Family Medicine Physician
- Gaithersburg, MD
National Provider Identifier
1437317955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY MEDICINE OF GAITHERSBURG
- Practice address
- 981 Russell Ave
Gaithersburg, MD 20879-6219 - Phone
- (301) 740-8732
- NPI assigned
- May 30, 2008
- Last updated
- May 30, 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
- Caryl Matthew
- Title
- Dir of Operations
- Phone
- (301) 216-2065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
981 Russell Ave
Gaithersburg, MD 20879-6219
Mailing address
981 Russell Ave
Gaithersburg, MD 20879-6219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002760000 | Medicaid | MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Prince Frederick, MD
- NPI 1649241290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212105600000",
"number": "1437317955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 RUSSELL AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208796219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981 RUSSELL AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208796219",
"telephone_number": "301-740-8732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICINE OF GAITHERSBURG",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-30",
"last_updated": "2008-05-30",
"status": "A",
"authorized_official_last_name": "MATTHEW",
"authorized_official_first_name": "CARYL",
"authorized_official_title_or_position": "DIR OF OPERATIONS",
"authorized_official_telephone_number": "301-216-2065"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002760000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
- Family Care Associates (All day family care)
- Family Care Associates
- Family ENT Allergy and Asthma Center PC (Family Allergy & Asthma Care)
- Family Health Center
- Family Medical & Rehab Center
- Family Physician Associates LLC (All Day Medical Care Clinic)
- Family Services, Inc
- Family Services, Inc
- Family Services, Inc
- Family Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.