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FAMILY MEDICAL CENTER PA NPI 1710161534


NPI Information

NPI: 1710161534
Provider Name: FAMILY MEDICAL CENTER PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 21D0882168

Address:
3416 OLANDWOOD CT
207
OLNEY, MD
ZIP 20832
Phone: (301) 774-1231
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FAMILY MEDICAL CENTER PA is a family medicine in Olney, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICAL CENTER PA NPI is 1710161534. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3416 OLANDWOOD CT
207
OLNEY, MD
ZIP 20832-372
Phone: (301) 774-1231

The provider's authorized official is Johny Joseph Edappully .
The authorized official title is Physician and has the following contact phone number (301) 774-8355.

The CLIA number assigned to this NPI record is 21D0882168 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 8/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1512396MEDICARE PINMARYLAND
2E40799MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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