Healthcare Provider Details

I. General information

NPI: 1396341467
Provider Name (Legal Business Name): JOSEPH HAMILTON THOMPSON PAINE II
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HAMILTON PAINE FNP-C

II. Dates (important events)

Enumeration Date: 12/04/2020
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 METROPOLITAN CT STE 1
GAITHERSBURG MD
20878-4016
US

IV. Provider business mailing address

323 WEBSTER ST NW
WASHINGTON DC
20011-7328
US

V. Phone/Fax

Practice location:
  • Phone: 240-773-0300
  • Fax:
Mailing address:
  • Phone: 202-387-8232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: