Active NPI
Emeka Sam Momah, D.O
- Family Medicine Physician
- Washington, DC
National Provider Identifier
1891731311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO034199
- Practice address
- 6323 Georgia Ave NW Ste 206a
Washington, DC 20011-1141 - Phone
- (202) 291-2005
- Fax
- (202) 722-2632
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO034199 | DC | Primary |
Addresses
Primary practice location
6323 Georgia Ave NW Ste 206a
Washington, DC 20011-1141
Mailing address
6323 Georgia Ave NW Ste 206a
Washington, DC 20011-1141
Phone (202) 291-2005
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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO034199 | DC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221177600000",
"number": "1891731311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6323 GEORGIA AVE NW STE 206A",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200111141",
"telephone_number": "202-291-2005",
"fax_number": "202-722-2632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6323 GEORGIA AVE NW STE 206A",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200111141",
"telephone_number": "202-291-2005",
"fax_number": "202-722-2632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMAH",
"first_name": "EMEKA",
"middle_name": "SAM",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2008-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "DO034199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.