Active NPI
Olney Medical Associates
- Internal Medicine Physician
- Olney, MD
National Provider Identifier
1609967736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- OLNEY MEDICAL ASSOCIATES
- Practice address
- 18109 Prince Philip Dr Ste 275
Olney, MD 20832-1576 - Phone
- (301) 774-5400
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca E Colon
- Title
- Office Manager
- Phone
- (301) 774-5555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD | Primary |
Addresses
Primary practice location
18109 Prince Philip Dr Ste 275
Olney, MD 20832-1576
Mailing address
18213 Hillcrest Ave
Olney, MD 20832-1422
Phone (301) 774-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058291300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18213 Hillcrest Ave
Olney, MD 20832
Phone (301) 260-7600
18109 Prince Philip Dr
Ste 275
Olney, MD 20832
Phone (240) 342-2136
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": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1609967736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18213 HILLCREST AVE",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321422",
"telephone_number": "301-774-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18109 PRINCE PHILIP DR STE 275",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321576",
"telephone_number": "301-774-5400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLNEY MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2022-07-21",
"certification_date": "2021-04-26",
"status": "A",
"authorized_official_last_name": "COLON",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "301-774-5555"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058291300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.