Active NPI
Toseg Medical Center, LLC
- Family Medicine Physician
- Gaithersburg, MD
National Provider Identifier
1942834890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TOSEG MEDICAL CENTER, LLC
- Practice address
- 19650 Club House Rd Ste 104
Gaithersburg, MD 20886-3039 - Phone
- (410) 970-2640
- NPI assigned
- Mar 1, 2020
- Last updated
- Mar 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olukemi Ogunmakinwa, NP
- Title
- Owner
- Phone
- (240) 392-0814
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
19650 Club House Rd Ste 104
Gaithersburg, MD 20886-3039
Mailing address
19650 Club House Rd Ste 104
Gaithersburg, MD 20886-3039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/20992/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583020800000",
"number": "1942834890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19650 CLUB HOUSE RD STE 104",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208863039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19650 CLUB HOUSE RD STE 104",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208863039",
"telephone_number": "410-970-2640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOSEG MEDICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-01",
"last_updated": "2020-03-01",
"certification_date": "2020-03-01",
"status": "A",
"authorized_official_last_name": "OGUNMAKINWA",
"authorized_official_first_name": "OLUKEMI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-392-0814",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.