Advanced Walk in Urgent Care LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

D0047838 Issued in MD

Legal business name

ADVANCED WALK IN URGENT CARE LLC

Practice address

10801 Lockwood Dr
Suite 140
Silver Spring, MD 20901-1556

Phone

(301) 860-0888

Fax

(301) 860-0889

NPI assigned

Aug 18, 2011

Last updated

Jan 3, 2012By 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

Dr. Naomi Ihedioha, MD

Title

Medical Director

Phone

(301) 860-0888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1649550930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR",
            "address_2": "SUITE 140",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-860-0888",
            "fax_number": "301-860-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR",
            "address_2": "SUITE 140",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-860-0888",
            "fax_number": "301-860-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WALK IN URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "IHEDIOHA",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-860-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MD",
            "license": "D0047838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.