Healthcare Provider Details

I. General information

NPI: 1558228155
Provider Name (Legal Business Name): ANN S O'MALLEY MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 1ST ST NE FL E12
WASHINGTON DC
20002-5049
US

IV. Provider business mailing address

1100 1ST ST NE FL E12
WASHINGTON DC
20002-5049
US

V. Phone/Fax

Practice location:
  • Phone: 202-554-7569
  • Fax:
Mailing address:
  • Phone: 202-554-7569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberD0046559
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: