Oleg B. Shpak, MD, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

D0034860 Issued in MD

Legal business name

OLEG B. SHPAK, MD, PA

Practice address

121 Congressional LN
Suite 312
Rockville, MD 20852-1542

Phone

(301) 770-6126

Fax

(301) 881-0844

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Oleg B. Shpak, MDNPI 1376546069

Title

Owner

Phone

(301) 577-5511

Specialties & licenses 1

Addresses

Tax ID family

Oleg B Shpak MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oleg B. Shpak, MD, PA

  • Clinic/Center
  • Lanham, MD
  • NPI 1316068083
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oleg B. Shpak, M.D.

  • Internal Medicine Physician
  • Lanham, MD
  • NPI 1376546069
  NPD Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1689893109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063025",
            "telephone_number": "301-577-5511",
            "fax_number": "301-577-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CONGRESSIONAL LN",
            "address_2": "SUITE 312",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521542",
            "telephone_number": "301-770-6126",
            "fax_number": "301-881-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEG B. SHPAK, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "SHPAK",
        "authorized_official_first_name": "OLEG",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-577-5511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D0034860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Olarte, PHD
• Jamiu Olatunji
• Oluwatomilola Olatunji
• Old Georgetown Mental Health Associates
• Dara Olden
• Gloribel Le Olexa, MD
• Sthenia Oliphant
• Chinedum Ikemefuna Olisemeka, DO
• Esiquiel Oliva
• Cameron Oliver

• Clinic/Center in Rockville, MD
• Providers in Rockville, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.