NPIMap

Organization Active NPI

Ethio-American Health Center Inc

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1477794576
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD034563 Issued in DC
Legal business name
ETHIO-AMERICAN HEALTH CENTER INC
Practice address
4515 14TH St NW
Washington, DC 20011-4358
Phone
(202) 607-1763
NPI assigned
Mar 19, 2009
Last updated
Mar 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Paige Smith
Title
Billing Manager
Phone
(301) 509-4091

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD034563 DC Primary
Infectious Disease Physician 207RI0200X MD034616 DC
Pediatrics Physician 208000000X MD035167 DC

Addresses

Primary practice location

4515 14TH St NW
Washington, DC 20011-4358

Mailing address

PO Box 21425
Washington, DC 20009-0925
Phone (202) 607-1763

National Provider Directory

National Provider Directory

Locations

4515 14th St NW
Washington, DC 20011
Phone (202) 607-1763

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1477794576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21425",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200090925",
            "telephone_number": "202-607-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114358",
            "telephone_number": "202-607-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHIO-AMERICAN HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "301-509-4091"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD034563",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "DC",
            "license": "MD034616",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD035167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.