Organization Active NPI

Columbia Joint Health LLC

  • Medical Specialty Clinic/Center
  • Columbia, MD
National Provider Identifier
1437881000
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
COLUMBIA JOINT HEALTH LLC
Practice address
7130 Minstrel Way Ste 210
Columbia, MD 21045-5265
Phone
(410) 575-3998
NPI assigned
Jun 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Abel Dereje
Title
Managing Member
Phone
(410) 575-3998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

7130 Minstrel Way Ste 210
Columbia, MD 21045-5265

Mailing address

3313 Castle Ridge Cir
Silver Spring, MD 20904-7343

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1437881000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 CASTLE RIDGE CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MINSTREL WAY STE 210",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455265",
            "telephone_number": "410-575-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA JOINT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "DEREJE",
        "authorized_official_first_name": "ABEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-575-3998"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.