<Unavail>
LBN: Icon Medicine
<Unavail> is an health care organization with primary practice located at 7411 Riggs Rd Ste 300B , Hyattsville MD 20783-4246. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Icon Medicine can be contacted via phone (240) 966-4266, or through Onserio, Timothy Nyakango via phone (240) 966-4266.
Contact Information
Primary practice address
7411 Riggs Rd Ste 300B
Hyattsville MD 20783-4246
Phone: (240) 966-4266
Fax: (301) 235-1771
Website:
Authorized official contact:
Name: Onserio, Timothy Nyakango DNP,APRN,FNP,CRNP
Phone: (240) 966-4266
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X |
Profile Details
| NPI number | 1477269447 |
|---|---|
| LBN Legal business name | Icon Medicine |
| DBA Doing business as | <Unavail> |
| Authorized official | Onserio, Timothy Nyakango DNP,APRN,FNP,CRNP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2023 |
| Last updated | Feb 24th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477269447 | NPPES |
| Maryland | Other | R189170 | CRNP LICENSE |
| Maryland | Other | APRN11022989 | CRNP LICENSE |
| Maryland | Other | 0024189089 | CRNP LICENSE |
| Maryland | Other | O-526793646572 | CRNP LICENSE |
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