NPIMap

Organization Active NPI

Umg Primary Care of Maryland LLC

  • Primary Care Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1811340540
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D0071488 Issued in MD
Legal business name
UMG PRIMARY CARE OF MARYLAND LLC
Practice address
13671 Georgia Ave
Silver Spring, MD 20906-5214
Phone
(240) 219-9080
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Payam Herischi, PHD
Title
Director
Phone
(202) 812-0949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D0071488 MD Primary

Addresses

Primary practice location

13671 Georgia Ave
Silver Spring, MD 20906-5214

Mailing address

7201 Wisconsin Ave
Suite 450
Bethesda, MD 20814-4810
Phone (202) 812-0949

National Provider Directory

National Provider Directory
Tax ID family
Umg Primary Care of Maryland LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1811340540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 WISCONSIN AVE",
            "address_2": "SUITE 450",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144810",
            "telephone_number": "202-812-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13671 GEORGIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065214",
            "telephone_number": "240-219-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMG PRIMARY CARE OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "HERISCHI",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-812-0949",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0071488",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 19, 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.