Patrick O Fasusi, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD16434 Issued in DC

Legal business name

PATRICK O FASUSI, MD

Practice address

6323 Georgia Ave NW
Suite 200
Washington, DC 20011-1101

Phone

(202) 291-0126

Fax

(202) 291-0370

NPI assigned

Jun 26, 2007

Last updated

Oct 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Diane M Cotton

Title

Administrative Director

Phone

(202) 291-0126

Specialties & licenses 1

Addresses

Other names 1

• Premier Anesthesia-Pain Management Group Other name

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1982800827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10357",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209140357",
            "telephone_number": "202-291-0126",
            "fax_number": "202-291-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 GEORGIA AVE NW",
            "address_2": "SUITE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111101",
            "telephone_number": "202-291-0126",
            "fax_number": "202-291-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK O FASUSI, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "202-291-0126",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD16434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Anesthesia-Pain Management Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia E.Petrash L.I.C.S.W.,Inc.
• Patricia J Dunston LLC
• Patricia J Dunston LLC
• Iyangdam Patricia
• Che Patrick Ngwa
• Deithra Patrick
• Dionna Patrick
• Donna Patrick
• Jonathan Edward Patrick, MD
• Kathryn Patrick

• Specialist in Washington, DC
• Providers in Washington, DC by specialty
• Specialist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.