Active NPI
Frank & Grace, Inc.
Doing business as Sisom Osia, M.D./ Gateway Medical Center
- Internal Medicine Physician
- Upper Marlboro, MD
National Provider Identifier
1689621203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0048158
- Legal business name
- FRANK & GRACE, INC.
- Doing business as
- Sisom Osia, M.D./ Gateway Medical Center
- Practice address
- 9628 Marlboro Pike
Upper Marlboro, MD 20772 - Phone
- (301) 599-7010
- Fax
- (301) 599-1222
- NPI assigned
- May 28, 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
- Dr. Sisom Osia, M.D.
- Title
- President
- Phone
- (301) 599-7010
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0048158 | MD | Primary |
Addresses
Primary practice location
9628 Marlboro Pike
Upper Marlboro, MD 20772
Mailing address
PO Box 2070
Upper Marlboro, MD 20773-2070
Phone (301) 599-7010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051701101 | Medicaid | MD |
Other names 1
- Sisom Osia, M.D./ Gateway Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9628 Marlboro Pike
Uppr Marlboro, MD 20772
Phone (301) 599-7010
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": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268006400000",
"number": "1689621203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2070",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207732070",
"telephone_number": "301-599-7010",
"fax_number": "301-599-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9628 MARLBORO PIKE",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "20772",
"telephone_number": "301-599-7010",
"fax_number": "301-599-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANK & GRACE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2010-03-08",
"status": "A",
"authorized_official_last_name": "OSIA",
"authorized_official_first_name": "SISOM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-599-7010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0048158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051701101",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sisom Osia, M.D./ Gateway Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.