OBIAGELI DURU ANOUMATACKY


Address: 19735 Germantown Rd, Germantown, MD 20874-1214
Phone: 3016349600

OBIAGELI DURU ANOUMATACKY (NPI# 1508244161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508244161
Entity Type Individual
Full Name OBIAGELI DURU ANOUMATACKY
Other Name OBIAGELI LITTLEJOHN
Credential CRNP
Practice Address 19735 Germantown Rd
Germantown
MD 20874-1214
Mailing Address 9309 Old Georgetown Rd
Bethesda
MD 20814-1620
Practice Telephone 3016349600
Practice Fax Number 3014938553
Mailing Telephone 3016349600
Mailing Fax Number 3014938553
Enumeration Date 2015-05-14
Last Update Date 2016-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse R193298 MD Nursing Service Providers
N 163W00000X Registered Nurse RN1022296 DC Nursing Service Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
1022296 DC Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
R193298 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 19735 GERMANTOWN RD
City GERMANTOWN
State MD
Zip Code 20874-1214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215920178 Lillian Marie Cardona Family Medicine 19735 Germantown Rd, Suite 100, Germantown, MD 20874-1214 2005-08-25
1568024008 Carey Martinez Deluca Nurse Practitioner 19735 Germantown Rd, Germantown, MD 20874-1214 2019-07-05
1265890099 Stephanie Garfinkle Physician Assistant 19735 Germantown Rd, Suite 100, Germantown, MD 20874-1214 2016-02-08
1093197345 Mobile Medical Care, Inc. Clinic/Center 19735 Germantown Rd, Suite 300, Germantown, MD 20874-1214 2015-06-23
1568852259 Kids Smile Dentist 19735 Germantown Rd, 220, Germantown, MD 20874-1214 2015-02-02
1932506672 Germantown Professional Pharmacy &compounding Pharmacy 19735 Germantown Rd, Suite 175, Germantown, MD 20874-1214 2014-11-24
1871999235 Maria Aguda Nurse Practitioner 19735 Germantown Rd, Ste 300, Germantown, MD 20874-1214 2014-11-13
1356754766 Potomac Physician Associates Registered Nurse 19735 Germantown Rd, Suite 100, Germantown, MD 20874-1214 2014-06-04
1114355005 Rosemary Digioia Registered Nurse 19735 Germantown Rd, Ste, Germantown, MD 20874-1214 2013-10-31
1730420035 Center for Pain Management, LLC Pain Medicine 19735 Germantown Rd, Suite 360, Germantown, MD 20874-1214 2013-03-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033768973 Lauren Grace Dovin Speech-Language Pathologist 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 2019-09-04
1578119376 Kevin Crippen Speech-Language Pathologist Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 2019-08-16
1245700830 Heather Macvean Behavioral Analyst 18100 Chalet Dr Apt 301, Germantown, MD 20874 2018-11-27
1811414014 Wanai Sen Kum Pharmacist 12825 Westeria Drive, Germantown, MD 20874 2017-08-28
1417409160 Bornfree Wellness Centers of America Substance Abuse Rehabilitation Facility 19537 Doctor's Drive, Germantown, MD 20874 2016-10-28
1396119210 Darling St Louis Social Worker 18936 Port Haven Pl, Germantown, MD 20874 2015-11-16
1003289067 Olayiwola O Oloko Home Health Aide 19300 Circle Gate Dr #201, Germantown, MD 20874 2015-11-12
1831562446 Joanne Croos Physical Therapist 13905 Briarwick St, Germantown, MD 20874 2015-11-04
1255717070 Caring Health Services Inc Case Management 12312 Quail Woods Dr, Germantown, MD 20874 2015-08-04
1184007817 Mobile Medical Care, Inc. Clinic/Center 981 Rollins Ave., Rockville, MD 20874 2015-06-30
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790382281 Bluff Medical Group Nurse Practitioner 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 2020-10-07
1114537545 Pamela Ngeghua Wanki Nurse Practitioner 13377 Rushing Water Way, Germantown, MD 20874-2170 2020-07-31
1154948974 Sambila Valentine Zangre Congo Nurse Practitioner 12747 Longford Glen Dr, Germantown, MD 20874-4113 2020-06-27
1205466810 Mother Baby Lactation Care, LLC Nurse Practitioner 11602 Scarlet Leaf Cir, Germantown, MD 20876-6048 2020-01-22
1861042095 Kristina Murphy Fnp, LLC Nurse Practitioner 2095 Exeter Rd Ste 385, Germantown, TN 38138-3963 2019-09-19
1881255842 Florence O Fakayode Nurse Practitioner 20201 Halethorpe Ln Apt 12, Germantown, MD 20876-5702 2019-06-21
1740844190 Victorine Njang Njingo Nurse Practitioner 20818 Mountain Lake Ter, Germantown, MD 20874-3989 2019-04-30
1083176804 Florence Tchetgna Djikimi Nurse Practitioner 19612 Musser Ct, Germantown, MD 20874-6247 2019-04-01
1427521053 Charlotte Joure Knight Nurse Practitioner 9067 Poplar Ave Ste 109, Germantown, TN 38138-7851 2019-01-07
1568969517 Nehali Patel Nurse Practitioner 12321 Middlebrook Rd Ste 101, Germantown, MD 20874-1512 2018-04-06
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Competitor

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City GERMANTOWN
Zip Code 20874

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Dataset Information

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.

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