Organization Active NPI

Avrm LLC

  • Medical Specialty Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1972974376
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D0077960 Issued in MD
Legal business name
AVRM LLC
Practice address
10750 Columbia Pike
Suite 220
Silver Spring, MD 20901-4402
Phone
(301) 328-7246
Fax
(240) 670-7284
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Dr. Tolulope Kofi Akinyemi, MD
Title
Owner
Phone
(301) 328-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X D0077960 MD Primary

Addresses

Primary practice location

10750 Columbia Pike
Suite 220
Silver Spring, MD 20901-4402

Mailing address

10750 Columbia Pike
Suite 220
Silver Spring, MD 20901-4402
Phone (301) 328-7246

Other identifiers 2

IdentifierTypeStateIssuer
055948201MedicaidMD
069780200MedicaidDC

Other names 1

  • ACCESS AND VASCULAR RESTORATIVE MEDICINE LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1972974376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10750 COLUMBIA PIKE",
            "address_2": "SUITE 220",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014402",
            "telephone_number": "301-328-7246",
            "fax_number": "240-670-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 COLUMBIA PIKE",
            "address_2": "SUITE 220",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014402",
            "telephone_number": "301-328-7246",
            "fax_number": "240-670-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVRM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "AKINYEMI",
        "authorized_official_first_name": "TOLULOPE",
        "authorized_official_middle_name": "KOFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-328-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D0077960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055948201",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069780200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCESS AND VASCULAR RESTORATIVE MEDICINE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.