Active NPI
Fousseyni M Diawara
- Sonography Radiologic Technologist
- Rockville, MD
National Provider Identifier
1902456502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 101493
- Practice address
- 1680 E Gude Dr Ste 302
Rockville, MD 20850 - Phone
- (301) 605-5572
- Fax
- (240) 863-3007
- NPI assigned
- Sep 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 101493 | MD | Primary |
Addresses
Primary practice location
1680 E Gude Dr Ste 302
Rockville, MD 20850
Mailing address
1680 E Gude Dr Ste 302
Rockville, MD 20850-1372
Phone (301) 339-4217
Other practice location 1
1680 E Gude Dr Ste 303
Rockville, MD 20850-1372
Phone (301) 605-5572
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EMSOW | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 101493 | MD | MD | Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1902456502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 E GUDE DR STE 302",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501372",
"telephone_number": "301-339-4217",
"fax_number": "240-863-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 E GUDE DR STE 302",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20850",
"telephone_number": "301-605-5572",
"fax_number": "240-863-3007"
}
],
"practiceLocations": [
{
"address_1": "1680 E Gude Dr Ste 303",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208501372",
"country_code": "US",
"telephone_number": "301-605-5572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAWARA",
"first_name": "FOUSSEYNI",
"middle_name": "M",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-16",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": "MD",
"license": "101493",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EMSOW",
"affiliation": "N",
"endpointDescription": "PACS",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EM SOW PACS",
"address_1": "1680 E Gude Dr Ste 302",
"city": "Rockville",
"state": "MD",
"country_code": "US",
"postal_code": "20850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.