NPIMap

Organization Active NPI

Blackwell Physicians, LLC

Doing business as AHC Imaging

  • Diagnostic Radiology Physician
  • Silver Spring, MD
National Provider Identifier
1558192856
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BLACKWELL PHYSICIANS, LLC
Doing business as
AHC Imaging
Practice address
11890 Healing Way
Silver Spring, MD 20904-7917
Phone
(240) 637-4000
NPI assigned
Aug 9, 2024
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Pamela McClain
Title
VP Managed Care
Phone
(301) 315-3826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

11890 Healing Way
Silver Spring, MD 20904-7917

Mailing address

820 W Diamond Ave Ste 500
Gaithersburg, MD 20878-1469
Phone (301) 315-3826

Other names 1

  • AHC Imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blackwell Physicians LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1558192856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DIAMOND AVE STE 500",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781469",
            "telephone_number": "301-315-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 HEALING WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047917",
            "telephone_number": "240-637-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "VP MANAGED CARE",
        "authorized_official_telephone_number": "301-315-3826"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHC Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 9, 2024; 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.