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Export Provider Record NPI 1407187495
Northside Medical Services Corporation
Organization Subpart: NO
Active
NPI Number1407187495
NPI TypeNPI-2 Organization
SpecialtyContractor
Provider Details
NPI1407187495
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2010-01-15
Last Updated2010-01-15
Authorized OfficialRalph Turner
CHEIF CONSULTING OFFICER
Phone: 2023886000
Mailing Address4121 Minnesota Ave Ne
Washington, DC 20019-3572
United States
Phone: (202) 388-6000 | Fax: (202) 388-6001
📍 View Map
Primary Practice Address4121 Minnesota Ave Ne
Washington, DC 20019-3572
United States
Phone: (202) 388-6000 | Fax: (202) 388-6001
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes171W00000X – ContractorDCMD 25334
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About NPI 1407187495

Northside Medical Services Corporation is an organization registered in the CMS NPPES NPI Registry with NPI number 1407187495. The primary specialty listed is Contractor. The organization is located in Washington, DC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-01-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1407187495?

NPI 1407187495 belongs to Northside Medical Services Corporation, a Contractor in Washington, DC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1407187495 active?

The current status of NPI 1407187495 in the NPPES registry is Active. The record was last updated on 2010-01-15.

What specialty is NPI 1407187495?

NPI 1407187495 is classified under the taxonomy Contractor. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1407187495?

You can verify NPI 1407187495 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1407187495?

The primary practice address on file for NPI 1407187495 is 4121 Minnesota Ave Ne, Washington, DC 20019-3572. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1407187495 issued?

NPI 1407187495 was first issued (enumerated) on 2010-01-15. The NPPES record was last updated on 2010-01-15.

Practice Location Map

Northside Medical Services Corporation is located at 4121 Minnesota Ave Ne, Washington, DC. Use the map below to find directions or verify the practice location.

📍 4121 Minnesota Ave Ne, Washington, DC 20019-3572  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Northside Medical Services Corporation. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1407187495. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
ContractorMD 25334DC
Data Verified from CMS NPPES Last synced: 2026-08-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162