# ICON MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INNOVATIVE CARE OPTIONS NETWORK
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477269447
- **Authorized official:** DR. TIMOTHY NYAKANGO ONSERIO DNP,APRN,FNP,CRNP (CLINICAL DIRECTOR)
- **Authorized official phone:** (240) 966-4266

## Contact information

- **Practice address:** 7411 RIGGS RD STE 300B, HYATTSVILLE, MD 20783-4246
- **Practice address phone:** (240) 966-4266
- **Practice address fax:** (301) 235-1771
- **Mailing address:** 10770 COLUMBIA PIKE STE 300-1021, SILVER SPRING, MD 20901-4402
- **Mailing address phone:** (240) 966-4266
- **Mailing address fax:** (301) 235-1771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/24/2023
- **Last updated:** 02/24/2025