NPIMap

Organization Active NPI

Family Health Care of Silver Spring

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1750560397
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D39997 Issued in MD
Legal business name
FAMILY HEALTH CARE OF SILVER SPRING
Practice address
344 University Blvd W Ste 213
Silver Spring, MD 20901-1970
Phone
(301) 592-1784
Fax
(301) 592-1783
NPI assigned
Oct 31, 2007
Last updated
Nov 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Mona Ellis, MD
Title
Owner
Phone
(301) 592-1784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D39997 MD Primary

Addresses

Primary practice location

344 University Blvd W Ste 213
Silver Spring, MD 20901-1970

Mailing address

344 University Blvd W Ste 213
Silver Spring, MD 20901-1970
Phone (301) 592-1784

Other identifiers 2

IdentifierTypeStateIssuer
54322302OtherMDBCBS OF MD
78072OtherMDAMERIGROUP

National Provider Directory

National Provider Directory
Tax ID family
Family Health Care of Silver Spring2 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.

Locations

344 University Blvd W
Ste 213
Silver Spring, MD 20901
Phone (301) 592-1780

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1750560397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 UNIVERSITY BLVD W STE 213",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011970",
            "telephone_number": "301-592-1784",
            "fax_number": "301-592-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 UNIVERSITY BLVD W STE 213",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011970",
            "telephone_number": "301-592-1784",
            "fax_number": "301-592-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE OF SILVER SPRING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-592-1784",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D39997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD",
            "identifier": "54322302",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "78072",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.