JONAH N.K. ODIM (NPI# 1811000565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811000565 |
| Entity Type | Individual |
| Full Name | JONAH N.K. ODIM |
| Credential | MD, PHD |
| Practice Address |
9801 Traville Commons Dr The Jnko Group, LLC Suite 302 Rockville MD 20850-7493 |
| Practice Telephone | 3013402823 |
| Mailing Telephone | 3013402823 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
D0065408 | MD | Allopathic & Osteopathic Physicians |
| X | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
D0065408 | MD | Allopathic & Osteopathic Physicians |
| X | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | D0065408 | MD | Allopathic & Osteopathic Physicians |
| X | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G83772 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL PPIN # | 00G837720 | 01 |
| Street Address |
9801 TRAVILLE COMMONS DR THE JNKO GROUP, LLC SUITE 302 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-7493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538237730 | Richard Thomas Mahon | Internal Medicine | 16632 Cutlass Dr, Rockville, MD 20853-1334 | 2006-12-04 |
| 1093719023 | Alan Stuart Chanales | Internal Medicine | 15225 Shady Grove Rd, Rockville, MD 20850-3254 | 2005-06-08 |
| 1801131024 | Ajit P Kuruvilla Md LLC | Internal Medicine | 2401 Research Blvd, Suite 350, Rockville, MD 20850-3215 | 2012-11-28 |
| 1588910566 | Capital Critical Care, LLC | Internal Medicine | 2401 Research Blvd, Suite 350, Rockville, MD 20850-3215 | 2012-07-27 |
| 1477855823 | Mario O Belledonne Pa | Internal Medicine | 121 Congressional Ln, Suite 205, Rockville, MD 20852-1542 | 2010-11-17 |
| 1760621346 | Nimrita Dhanjal | Internal Medicine | 2401 Research Blvd, Suite 350, Rockville, MD 20850-3215 | 2009-02-05 |
| 1699933895 | Jessica Blair Pamer | Internal Medicine | 9901 Medical Center Dr, Medical Intensive Care Unit, Rockville, MD 20850-3357 | 2008-05-26 |
| 1013127695 | Isabelle A Hertig | Internal Medicine | 11125 Rockville Pike, Suite 208, Rockville, MD 20852-3142 | 2007-05-23 |
| 1619012978 | Ajit P. Kuruvilla M.d., LLC | Internal Medicine | 11125 Rockville Pike, Suite 208, Rockville, MD 20852-3142 | 2007-02-21 |
| 1659487585 | Farah M Cheema | Internal Medicine | 2401 Research Blvd, Suite 350, Rockville, MD 20850-3215 | 2006-08-22 |
| Find all providers in ROCKVILLE | ||||
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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.