Et Family Practice

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

R178223 Issued in MD

Legal business name

ET FAMILY PRACTICE

Practice address

7500 Hanover Pkwy
202
Greenbelt, MD 20770-2010

Phone

(301) 220-0866

Fax

(240) 510-9532

NPI assigned

Nov 30, 2016

Organization subpart

No

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

Authorized official

Name

Eta Stephen Tataw Sr., CRNP

Title

Primary Care Provider

Phone

(240) 386-9682

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1740723212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY",
            "address_2": "202",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702010",
            "telephone_number": "301-220-0866",
            "fax_number": "240-510-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY",
            "address_2": "202",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702010",
            "telephone_number": "301-220-0866",
            "fax_number": "240-510-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ET FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "TATAW",
        "authorized_official_first_name": "ETA",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRIMARY CARE PROVIDER",
        "authorized_official_telephone_number": "240-386-9682",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "R178223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericam
• Esa Habilitation Services, LLC
• Marie Essame
• Florence A Esumenche
• Micheal N Esunji, HHA
• Et Family Practice, Inc.
• Et Healthcare Foundation,Inc.
• Joseph Desire Etoo Ndjongo
• Rose Senge Etule
• Enanga Euphrasia

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.