Active NPI
Marian A Opoku-Oteng
- Contractor
- Woodbridge, VA
National Provider Identifier
1881143378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 464041365
- Practice address
- 15721 Tassleford Lane
101
Woodbridge, VA 22191 - Phone
- (571) 723-7184
- Fax
- (571) 285-2235
- NPI assigned
- Sep 26, 2016
- Last updated
- Sep 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 464041365 | VA | Primary |
Addresses
Primary practice location
15721 Tassleford Lane
101
Woodbridge, VA 22191
Mailing address
15721 Tassleford LN
101
Woodbridge, VA 22191-6210
Phone (571) 723-7184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 464041365 | VA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1881143378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15721 TASSLEFORD LN",
"address_2": "101",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221916210",
"telephone_number": "571-723-7184",
"fax_number": "571-285-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15721 TASSLEFORD LANE",
"address_2": "101",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "22191",
"telephone_number": "571-723-7184",
"fax_number": "571-285-2235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPOKU-OTENG",
"first_name": "MARIAN",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-26",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "VA",
"license": "464041365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
- Elizabeth Uchechi Onyeali, PHD
- Elizabeth Chinuru Onyejekwe, PMHNP
- Onyx Medical Supplies Inc
- Open Hands Community Services LLC
- Opitiz Inc (Regal Pharmacy)
- Optimal Healthcare Services, LLC
- Optimal Home Healthcare Services LLC
- Optimal Radiology Partners of Virginia PLLC
- Optimal Sleep and Weight Loss Clinic, PLLC
- Optimized Home Health Care LLC (Kasasa Companies)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.