DIAGNOSTIC OUTPATIENT CENTER (NPI# 1750618393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750618393 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC OUTPATIENT CENTER |
| Practice Address |
8116 Good Luck Rd Suite 101 Lanham MD 20706-3502 |
| Mailing Address |
Po Box 79915 Baltimore MD 21279-0915 |
| Practice Telephone | 3012490022 |
| Mailing Telephone | 3014982922 |
| Mailing Fax Number | 3014983074 |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |
| Authorized Official Name | MR. CHRISTOPHER DUGAN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 3012490022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | BCBS-DC GROUP # | 7926 | 01 |
| MD | 403703100 | 05 | |
| MD | BCBS-DC GROUP # | H800DI | 01 |
| Street Address |
8116 GOOD LUCK RD SUITE 101 |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192426 | Don Harris Yablonowitz | Internal Medicine | 8116 Good Luck Rd, Ste 300, Lanham, MD 20706-3502 | 2005-05-27 |
| 1982153854 | Alexander Pei | Nurse Practitioner | 8116 Good Luck Rd, Suite 305, Lanham, MD 20706-3502 | 2016-10-03 |
| 1548629850 | Shantelle M Bethea | Dietitian, Registered | 8116 Good Luck Rd, Ste 210, Lanham, MD 20706-3502 | 2016-02-15 |
| 1003289968 | Melissa Dana Ramsey | Nurse Practitioner | 8116 Good Luck Rd, Ste 215, Lanham, MD 20706-3502 | 2015-11-01 |
| 1285003558 | Lea Medical Partners, LLC | Physical Medicine & Rehabilitation | 8116 Good Luck Rd, Suite 205, Lanham, MD 20706-3502 | 2015-09-17 |
| 1255711198 | Capital Orthopaedic Specialists LLC | Dietitian, Registered | 8116 Good Luck Rd, Suite 200, Lanham, MD 20706-3502 | 2015-06-05 |
| 1497133235 | Capital Orthopaedic Specialists LLC | Durable Medical Equipment & Medical Supplies | 8116 Good Luck Rd, Suite 200, Lanham, MD 20706-3502 | 2015-05-13 |
| 1639566763 | Bethany Garner | Speech-Language Pathologist | 8116 Good Luck Rd, Lanham, MD 20706-3502 | 2015-04-15 |
| 1609205046 | Claire Dipiero | Physician Assistant | 8116 Good Luck Rd, Suite 305, Lanham, MD 20706-3502 | 2013-11-06 |
| 1902147424 | Keisha Sims | Speech-Language Pathologist | 8116 Good Luck Rd, Lanham, MD 20706-3502 | 2013-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427111962 | Amanuel Fessahaye | Radiology | 4230 Forbes Blvd, Suite E, Lanham, MD 20706-4351 | 2006-12-18 |
| 1568480358 | German G Tampe | Radiology | 8220 Good Luck Rd, Lanham, MD 20706 | 2006-07-18 |
| 1083802045 | Laju Satchithanandam | Radiology | 8116 Good Luck Road, Suite 110, Lanham, MD 20706 | 2007-10-04 |
| 1447268404 | Alozie I Uneze | Radiology | 8220 Good Luck Rd, Lanham, MD 20706 | 2006-08-04 |
| 1174541965 | Hyung R Yoo | Radiology | 8220 Good Luck Rd, Lanham, MD 20706 | 2006-07-18 |
| 1518985308 | Benjamin Z Stallings | Radiology | 8220 Good Luck Rd, Lanham, MD 20706-3511 | 2006-07-18 |
| 1225056021 | Judy A Grant | Radiology | 8220 Good Luck Rd, Lanham, MD 20706 | 2006-07-18 |
| 1942228747 | Cong Van Le | Radiology | 8220 Good Luck Rd, Lanham, MD 20706 | 2006-07-18 |
| 1164440970 | Myles B Koby | Radiology | 8220 Good Luck Rd, Lanham, MD 20706 | 2006-07-18 |
| 1336167139 | Louis P Kirschner | Radiology | 8220 Good Luck Rd, Lanham, MD 20706 | 2006-07-18 |
| Find all providers in LANHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.