{
"Npi": {
"NPI": "1194904078",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RICHARD O AKOTO MD PA",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "344 UNIVERSITY BLVD W STE 326",
"SecondLineMailingAddress": "FOUR CORNERS MEDICAL CENTER",
"MailingAddressCityName": "SILVER SPRING",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20901-1971",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-681-9500",
"MailingAddressFaxNumber": "301-681-6570",
"FirstLinePracticeLocationAddress": "7610 CARROLL AVE STE 450",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TAKOMA PARK",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20912-6324",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-681-9500",
"PracticeLocationAddressFaxNumber": "301-681-6570",
"EnumerationDate": "10/29/2007",
"LastUpdateDate": "06/24/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AKOTO",
"AuthorizedOfficialFirstName": "RICHARD",
"AuthorizedOfficialMiddleName": "O",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "301-681-9500",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "D0058683",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}