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FAMILY MEDICAL CENTER PA
NPI 1710161534
Family Medicine in Olney, MD

Active since December 28, 2007CLIA 21D0882168 · Waiver
3416 OLANDWOOD CT, 207, OLNEY, MD 20832(301) 774-1231 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Medical Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY MEDICAL CENTER PA (NPI 1710161534) is a healthcare organization registered as a family medicine in Olney, Maryland and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Johny Joseph Edappully, Physician, as its authorized official.

NPPES Registry Identity

NPI1710161534
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICAL CENTER PA
Location Address3416 OLANDWOOD CT, 207Olney, MD 20832-1372
Mailing Address3416 Olandwood Ct, 207Olney, MD 20832 · (301) 774-1231
Phone(301) 774-1231
Organization SubpartNo
Authorized OfficialJohny Joseph EdappullyPhysician · (301) 774-8355
Enumeration DateDecember 28, 2007
Last NPPES UpdateAugust 13, 2008
✔ NPI 1710161534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3416 OLANDWOOD CT, Olney, MD 20832
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Other Identifiers 2

Medicare PIN512396MD
Medicare UPINE40799

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0882168

Family Medical Center · Olney, MD
Active · expires Jan 30, 2028
CLIA Number21D0882168
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorJohny Edappully MD
Laboratory Phone(301) 774-1343
Laboratory LocationFamily Medical Center3416 Olandwood Court #207, Olney, MD 20832
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHNY JOSEPH EDAPPULLY M.D.
Family Medicine
3416 OLANDWOOD CT, 207
OLNEY, MD 20832
Montgomery County (301) 774-8355
MS. JIL MARIE WHITTLE LCSW
Social Worker (Clinical)
3416 OLANDWOOD CT, STE. 201
OLNEY, MD 20832
Montgomery County (240) 475-0143
MS. GAIL LYNN ULLRICH LCSW-C
Social Worker (Clinical)
3416 OLANDWOOD CT, STE 201
OLNEY, MD 20832
Montgomery County (301) 928-6324
DR. MORTON BARRY ALBERT M.D.
Psychiatry & Neurology (Psychiatry)
3416 OLANDWOOD CT, SUITE 201
OLNEY, MD 20832
Montgomery County (240) 328-5580
DR. MARVIN NEIL TABB M.D.
Pediatrics
3416 OLANDWOOD CT, SUITE 108
OLNEY, MD 20832
Montgomery County (301) 774-7906
DR. ROBERT H KNITZER MD
Internal Medicine (Rheumatology)
3416 OLANDWOOD CT, 204
OLNEY, MD 20832
Montgomery County (301) 774-1797
EVELYN DIANE JACKSON M.D.
Internal Medicine
3416 OLANDWOOD CT, SUITE 200
OLNEY, MD 20832
Montgomery County (301) 774-5600
DR. ARTHUR FLETCHALL WOODWARD JR. M.D.
Surgery
3416 OLANDWOOD CT, SUITE 205
OLNEY, MD 20832
Montgomery County (301) 924-3004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Medical Center PA's NPI number?

The NPI number for Family Medical Center PA is 1710161534. It was assigned to this organization in the NPPES registry on December 28, 2007.

Where is Family Medical Center PA located?

Family Medical Center PA is located at 3416 Olandwood Ct 207, Olney, MD 20832. The listed phone number is (301) 774-1231.

What is Family Medical Center PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Family Medical Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0882168) is associated with this NPI, valid through January 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Medical Center PA was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.