Active NPI
Avrm LLC
- Medical Specialty Clinic/Center
- Silver Spring, MD
National Provider Identifier
1972974376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- D0077960
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055948201 | Medicaid | MD | |
| 069780200 | Medicaid | DC |
Other names 1
- ACCESS AND VASCULAR RESTORATIVE MEDICINE LLC
National Provider Directory
National Provider DirectoryNPI 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.