NPIMap

Organization Active NPI

Foundation Medical Clinic

  • Primary Care Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1841602877
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D0063277 Issued in MD
Legal business name
FOUNDATION MEDICAL CLINIC
Practice address
808 Landmark Dr
Suite 116
Glen Burnie, MD 21061-4983
Phone
(410) 760-4500
Fax
(410) 761-5035
NPI assigned
May 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Mrs. Patricia Chioma Nwaogbo
Title
Office Manager
Phone
(410) 760-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D0063277 MD Primary

Addresses

Primary practice location

808 Landmark Dr
Suite 116
Glen Burnie, MD 21061-4983

Mailing address

420 Crain Hwy S
Suite 3
Glen Burnie, MD 21061-3657
Phone (410) 760-4500

National Provider Directory

National Provider Directory

Locations

420 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 766-7500

NPI Registry JSON

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

{
    "created_epoch": "1401062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1841602877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CRAIN HWY S",
            "address_2": "SUITE 3",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613657",
            "telephone_number": "410-760-4500",
            "fax_number": "410-761-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 LANDMARK DR",
            "address_2": "SUITE 116",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614983",
            "telephone_number": "410-760-4500",
            "fax_number": "410-761-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-26",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "NWAOGBO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "CHIOMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-760-4500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0063277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.