Your Time Medical, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0078131 Issued in MD

Legal business name

YOUR TIME MEDICAL, PC

Doing business as

OT Family Medicine

Practice address

10339 Southern Maryland Blvd Ste 206
Dunkirk, MD 20754-3018

Phone

(443) 646-3532

Fax

(404) 480-3984

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Immirne Monet Ouwinga, MD

Title

Physician

Phone

(718) 791-2223

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• OT Family Medicine Doing business as

Locations

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1861849051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 FERRY LANDING RD",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207549647",
            "telephone_number": "718-791-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10339 SOUTHERN MARYLAND BLVD STE 206",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543018",
            "telephone_number": "443-646-3532",
            "fax_number": "404-480-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR TIME MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "OUWINGA",
        "authorized_official_first_name": "IMMIRNE",
        "authorized_official_middle_name": "MONET",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-791-2223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0078131",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424573300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OT Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Michelle Ward, MA
• Christina Ann Wilhelm, RDH
• Amber Nicole Wincek
• Robert A. Wood, D.D.S.
• Randi Kelsey Wright, PHARMD
• Yvonne Remz Physical Therapy LLC
• Deborah Buskirk Zagwodzki, LCSW-C
• Nicolette Donna Ziska, PT, DPT

• Family Medicine Physician in Dunkirk, MD
• Providers in Dunkirk, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.