Organization Active NPI

Belitehorizonmedicalcenter

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Leonardtown, MD
National Provider Identifier
1578876264
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
BC4178263 Issued in MD
Legal business name
BELITEHORIZONMEDICALCENTER
Practice address
26825 Pointlook Out Road
Stee
Leonardtown, MD 20650
Phone
(301) 997-0125
Fax
(301) 997-0126
NPI assigned
Jul 22, 2010
Organization subpart
Yes
Parent organization
BELITEHORIZONMEDICALCENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Dr. Chideha Macdonald Ohuoha, M.P.H.NPI 1548292808
Title
Psychiatrist
Phone
(301) 630-4009

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
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084A0401X BC4178263 MD Primary

Addresses

Primary practice location

26825 Pointlook Out Road
Stee
Leonardtown, MD 20650

Mailing address

3704 26TH Ave
Temple Hills, MD 20748-3010
Phone (301) 630-4009

Other identifiers 2

IdentifierTypeStateIssuer
160331100MedicaidMD
160331101MedicaidMD

National Provider Directory

National Provider Directory

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": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1578876264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 26TH AVE",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207483010",
            "telephone_number": "301-630-4009",
            "fax_number": "301-630-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26825 POINTLOOK OUT ROAD",
            "address_2": "STEE",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "301-997-0125",
            "fax_number": "301-997-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELITEHORIZONMEDICALCENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELITEHORIZONMEDICALCENTER",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "OHUOHA",
        "authorized_official_first_name": "CHIDEHA",
        "authorized_official_middle_name": "MACDONALD",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "301-630-4009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.P.H."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MD",
            "license": "BC4178263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160331100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160331101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.