Organization Active NPI

Planned Parenthood of Metropolitan Washington DC

  • Gynecology Physician
  • Montgomery Village, MD
National Provider Identifier
1801229075
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
PLANNED PARENTHOOD OF METROPOLITAN WASHINGTON DC
Practice address
19650 Club House Rd # 101
Montgomery Village, MD 20886-3003
Phone
(202) 347-8512
NPI assigned
Aug 12, 2013
Organization subpart
Yes
Parent organization
PLANNED PARENTHOOD OF METROPOLITAN WASHINGTON DCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Takina Wilson
Title
Chief Operating Officer
Phone
(410) 591-4273

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X Primary
Non-Surgical Family Planning Clinic/Center 261QF0050X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

19650 Club House Rd # 101
Montgomery Village, MD 20886-3003

Mailing address

1225 4TH St NE
Washington, DC 20002-3431
Phone (023) 478-5122

Other names 1

  • PPMW Mobile Unit 1 Other name

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of Metropolitan Washington DC Inc14 organizations share this tax ID, including this one
Part of
Planned Parenthood of Metropolitan Washington DC Inc

Other organizations with this tax ID 13

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

View all 13

Locations

19650 Club House Rd
#101
Montgomery Village, MD 20886
Phone (202) 347-8512

Practitioners & affiliated clinicians

Practitioners 8

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": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1801229075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 4TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023431",
            "telephone_number": "023-478-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19650 CLUB HOUSE RD # 101",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863003",
            "telephone_number": "202-347-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF METROPOLITAN WASHINGTON DC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANNED PARENTHOOD OF METROPOLITAN WASHINGTON DC",
        "enumeration_date": "2013-08-12",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TAKINA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "410-591-4273"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPMW Mobile Unit 1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.