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OPTIMAL PREVENTIVE MEDICINE PLLC NPI 1740550201


NPI Information

NPI: 1740550201
Provider Name: OPTIMAL PREVENTIVE MEDICINE, PLLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2112 F STREET, NW
SUITE 501
WASHINGTON, DC
ZIP 20037
Phone: (202) 296-1438
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OPTIMAL PREVENTIVE MEDICINE, PLLC is an internal medicine in Washington, DC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. OPTIMAL PREVENTIVE MEDICINE, PLLC NPI is 1740550201. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2112 F STREET, NW
SUITE 501
WASHINGTON, DC
ZIP 20037
Phone: (202) 296-1438
Fax: (202) 296-1549

The provider's authorized official is Sylvia Renee Medley .
The authorized official title is Owner/medical Director and has the following contact phone number (202) 296-1438.

The enumeration date for this NPI number is 12/30/2011 and was last updated on 3/21/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineMD304445DISTRICT OF COLUMBIANo
2207R00000XInternal MedicineMD304445DISTRICT OF COLUMBIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14284019OTHERDISTRICT OF COLUMBIAAETNA
23850189OTHERDISTRICT OF COLUMBIACIGNA
3Y58800001OTHERDISTRICT OF COLUMBIACAREFIRST BLUE CROSS BLUE SHIELD
400199114007OTHERUNITED HEALTH CARE
5F19313MEDICARE 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: 4/28/2024

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