Olde Towne Urgent Care, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

D0059605 Issued in MD

Legal business name

OLDE TOWNE URGENT CARE, LLC

Practice address

317 E Diamond Ave Ste C
Gaithersburg, MD 20877-5327

Phone

(301) 299-0332

NPI assigned

Feb 18, 2015

Last updated

Oct 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rasha Bafi Saleem, MDNPI 1225132418

Title

Owner

Phone

(301) 299-0332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10530/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Rasha Bafi Saleem, MD

  • Internal Medicine Physician
  • Gaithersburg, MD
  • NPI 1225132418

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Ahmed Mustafa Saleem, MD

  • Internal Medicine Physician
  • Potomac, MD
  • NPI 1972675007

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1619368206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 TUCKERMAN LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E DIAMOND AVE STE C",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208775327",
            "telephone_number": "301-299-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDE TOWNE URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "SALEEM",
        "authorized_official_first_name": "RASHA",
        "authorized_official_middle_name": "BAFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-299-0332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": "D0059605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chukwunonyeluanyi Okocha, MD
• Richard Okonkwo
• Jordan Oku
• Ganiyat Olasumbo Anike Oladapo, M.D.
• Olde Towne Primary Care LLC
• Olgavarnachevallc
• Nwando Mary Olisa
• Shanita Oliver
• Melissa Olsen
• Folake Olubasusi, RN, MSN, FNP-BC

• Urgent Care Clinic/Center in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Urgent Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.

Verify at the official NPI Registry.