NPIMap

Organization Active NPI

Preventmd

  • Primary Care Clinic/Center
  • Hyattsville, MD
National Provider Identifier
1578150348
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PREVENTMD
Practice address
7800 Central Ave
Hyattsville, MD 20785-4807
Phone
(410) 804-7200
Fax
(301) 218-7916
NPI assigned
Dec 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Rita Delores Wutoh, M.D.NPI 1841283835
Title
Owner
Phone
(410) 804-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7800 Central Ave
Hyattsville, MD 20785-4807

Mailing address

7800 Central Ave
Hyattsville, MD 20785-4807
Phone (410) 804-7200

National Provider Directory

National Provider Directory

Locations

7800 Central Ave
Landover, MD 20785
Phone (301) 333-5150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1578150348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 CENTRAL AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854807",
            "telephone_number": "410-804-7200",
            "fax_number": "301-218-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 CENTRAL AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854807",
            "telephone_number": "410-804-7200",
            "fax_number": "301-218-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "WUTOH",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "DELORES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-804-7200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.