NPIMap

Organization Active NPI

Somo Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Waldorf, MD
National Provider Identifier
1962277152
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SOMO URGENT CARE, INC
Practice address
3010 Crain Hwy Ste 300
Waldorf, MD 20601-2838
Phone
(301) 760-0335
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Sandys Oben Eyong
Title
Owner
Phone
(301) 532-6811

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

3010 Crain Hwy Ste 300
Waldorf, MD 20601-2838

Mailing address

3010 Crain Hwy Ste 300
Waldorf, MD 20601-2838
Phone (301) 532-6811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1962277152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 CRAIN HWY STE 300",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012838",
            "telephone_number": "301-532-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 CRAIN HWY STE 300",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012838",
            "telephone_number": "301-760-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMO URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "EYONG",
        "authorized_official_first_name": "SANDYS",
        "authorized_official_middle_name": "OBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-532-6811"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.