Potomic Medical Supplies, Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

POTOMIC MEDICAL SUPPLIES, INC

Practice address

8957 Edmonston Road
Suite Q
Greenbelt, MD 20770

Phone

(301) 270-0612

Fax

(301) 270-1487

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dominic McDuff

Title

Administrator

Phone

(301) 270-0612

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• potomic medical supplies, inc Doing business as

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1831205293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8957 EDMONSTON RD",
            "address_2": "SUITE Q",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701005",
            "telephone_number": "301-270-0612",
            "fax_number": "301-270-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8957 EDMONSTON ROAD",
            "address_2": "SUITE Q",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-270-0612",
            "fax_number": "301-270-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMIC MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "MCDUFF",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-270-0612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406117900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "potomic medical supplies, inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "potomic medical supplies, inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Precision Orthopedics and Sports Medicine

• Developmental Disabilities Clinic/Center in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Developmental Disabilities Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.