Active NPI
Potomac Advanced Medical Care
- Internal Medicine Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D78938
- Legal business name
- POTOMAC ADVANCED MEDICAL CARE
- Practice address
- 2401 Research Blvd Ste 370
Rockville, MD 20850-3269 - Phone
- (240) 690-4114
- Fax
- (240) 654-3915
- NPI assigned
- Mar 8, 2017
- Last updated
- Mar 3, 2018
- 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
- Wei Fan, MD
- Title
- M.D.
- Phone
- (240) 690-4114
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 | D78938 | MD | Primary |
Addresses
Primary practice location
2401 Research Blvd Ste 370
Rockville, MD 20850-3269
Mailing address
2401 Research Blvd Ste 370
Rockville, MD 20850-3269
Phone (240) 690-4114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2401 Research Blvd
Ste 300
Rockville, MD 20850
Phone (301) 762-1993
2401 Research Blvd
Ste 370
Rockville, MD 20850
Phone (240) 690-4114
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520035200000",
"number": "1770024812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 RESEARCH BLVD STE 370",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503269",
"telephone_number": "240-690-4114",
"fax_number": "240-654-3915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 RESEARCH BLVD STE 370",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503269",
"telephone_number": "240-690-4114",
"fax_number": "240-654-3915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POTOMAC ADVANCED MEDICAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-08",
"last_updated": "2018-03-03",
"status": "A",
"authorized_official_last_name": "FAN",
"authorized_official_first_name": "WEI",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "240-690-4114",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D78938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2018; 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.