COLIN OTTEY MD, PC (NPI# 1386890358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386890358 |
| Entity Type | Organization |
| Organization Name | COLIN OTTEY MD, PC |
| Other Organization Name | NEW LIFE MEDICAL |
| Practice Address |
8601 Martin Luther King Jr Hwy Suite 2 Lanham MD 20706-1500 |
| Practice Telephone | 3017736812 |
| Mailing Telephone | 3017736812 |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | COLIN CARLTON OTTEY (CEO/PRESIDENT) |
| Authorized Official Telephone | 3017736812 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
D52294 | MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| New Life Medical | Other Name - Individual/Organization |
| Street Address |
8601 MARTIN LUTHER KING JR HWY SUITE 2 |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992988455 | New Life Medical | Clinic/Center | 8601 Martin Luther King Jr Hwy, Lanham, MD 20706-1500 | 2007-12-07 |
| 1053910679 | Ludovic Azafack Tsague | Pharmacist | 8601 Martin Luther King Jr Hwy, Lanham, MD 20706-1500 | 2020-10-23 |
| 1851835813 | Mariam Diallo | Pharmacist | 8601 Martin Luther King Jr Hwy, Lanham, MD 20706-1500 | 2016-12-10 |
| 1336553452 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8601 Martin Luther King Jr Hwy, Lanham, MD 20706-1500 | 2014-06-17 |
| 1851602809 | Family Advocacy Network | Counselor | 8601 Martin Luther King Jr Hwy, Suite 4, Lanham, MD 20706-1500 | 2010-06-24 |
| 1649453101 | Colin Carlton Ottey | Internal Medicine | 8601 Martin Luther King Jr Hwy, Suite#1, Lanham, MD 20706-1500 | 2007-12-07 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225563117 | Cona Health Clinic, LLC | Clinic/Center | 9887 Good Luck Rd, # 7, Lanham, MD 20706-3219 | 2017-04-27 |
| 1992988455 | New Life Medical | Clinic/Center | 8601 Martin Luther King Jr Hwy, Lanham, MD 20706-1500 | 2007-12-07 |
| 1811523293 | Horizon Health Servicesllc | Clinic/Center | 6835 Forbes Blvd, Lanham, MD 20706-6104 | 2020-03-18 |
| 1043469141 | Ursula D. Poydras, Md, LLC | Clinic/Center | 9821 Greenbelt Rd, Suite 206, Lanham, MD 20706-2265 | 2008-09-12 |
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| 1013536960 | Philomena Nufunkuen Keli | Clinic/Center | 15012 Saddle Creek Dr, Burtonsville, MD 20866-2211 | 2020-04-10 |
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| 1588211890 | Two Tree Health Associates, LLC | Clinic/Center | 10 S Hanson St Ste 21, Easton, MD 21601-3078 | 2019-08-21 |
| 1427604099 | Ecarenow LLC | Clinic/Center | 176 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4535 | 2019-08-09 |
| 1326691874 | Lotus Healthcare and Wellness LLC | Clinic/Center | 6495 New Hampshire Ave Ste B140, Hyattsville, MD 20783-3245 | 2019-07-23 |
| 1831750546 | Matobi Family Healthcare,llc | Clinic/Center | 7350 Van Dusen Rd Ste 340, Laurel, MD 20707-5264 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
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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.