NPIMap

Organization Active NPI

Howard University

Doing business as Faculty Practice Plan

  • Obstetrics & Gynecology Physician
  • Washington, DC
National Provider Identifier
1740833722
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HOWARD UNIVERSITY
Doing business as
Faculty Practice Plan
Practice address
4414 Benning Rd NE FL 2
Washington, DC 20019-4555
Phone
(202) 865-2120
NPI assigned
Jul 19, 2019
Last updated
Jul 19, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HOWARD UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Terrance Fullum, MD
Title
Chief Medical Officer
Phone
(202) 865-4132

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Obstetrics & Gynecology Physician 207V00000X Primary
Maternal & Fetal Medicine Physician 207VM0101X
Ophthalmology Physician 207W00000X
Orthopaedic Surgery Physician 207X00000X
Body Imaging Physician 2085B0100X
Surgery Physician 208600000X

Addresses

Primary practice location

4414 Benning Rd NE FL 2
Washington, DC 20019-4555

Mailing address

2041 Georgia Ave NW Ste 3400
Washington, DC 20060-0001
Phone (202) 865-4132

Other names 1

  • Faculty Practice Plan Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Richard E Grant MD26 organizations share this tax ID, including this one
Part of
Richard E Grant MD

Other organizations with this tax ID 25

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

View all 25

Locations

2041 Georgia Ave NW
Ste 3400
Washington, DC 20060
Phone (202) 865-1164

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1740833722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW STE 3400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-4132",
            "fax_number": "202-865-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 BENNING RD NE FL 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194555",
            "telephone_number": "202-865-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOWARD UNIVERSITY",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "FULLUM",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "202-865-4132",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faculty Practice Plan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.