NPIMap

Organization Active NPI

Westside Medical Group Inc

  • Specialist
  • Baltimore, MD
National Provider Identifier
1629016027
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D30115 Issued in MD
Legal business name
WESTSIDE MEDICAL GROUP INC
Practice address
2600 Liberty Heights Ave
1St Floor
Baltimore, MD 21215-7804
Phone
(410) 383-4424
Fax
(410) 383-7918
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tajudeen Ohiokpehai, M.D.NPI 1790758498
Title
Ceo
Phone
(410) 383-4424

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X D30115 MD Primary

Addresses

Primary practice location

2600 Liberty Heights Ave
1St Floor
Baltimore, MD 21215-7804

Mailing address

PO Box 922
Brooklandville, MD 21022-0922
Phone (410) 383-4424

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629016027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922",
            "city": "BROOKLANDVILLE",
            "state": "MD",
            "postal_code": "210220922",
            "telephone_number": "410-383-4424",
            "fax_number": "410-383-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LIBERTY HEIGHTS AVE",
            "address_2": "1ST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157804",
            "telephone_number": "410-383-4424",
            "fax_number": "410-383-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OHIOKPEHAI",
        "authorized_official_first_name": "TAJUDEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-383-4424",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D30115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.