ROBERT MARRIOTT MEDICAL CORP (NPI# 1003367566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003367566 |
| Entity Type | Organization |
| Organization Name | ROBERT MARRIOTT MEDICAL CORP |
| Practice Address |
713 Midway Ave Mount Airy MD 21771-2833 |
| Mailing Address |
222 N Pacific Coast Hwy Ste 2175 El Segundo CA 90245-5639 |
| Practice Telephone | 8778783289 |
| Practice Fax Number | 8778173227 |
| Mailing Telephone | 8778783289 |
| Mailing Fax Number | 8778173227 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2018-11-08 |
| Authorized Official Name | ROBERT J MARRIOTT (CEO) |
| Authorized Official Telephone | 8778783289 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANTAGE WOUND CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 551507600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467903914 | Robert Marriott Medical Corp | Surgery | 2644 Bristol Rd, Warrington, PA 18976-1404 | 2016-10-19 |
| 1093266553 | Robert Marriott Medical Corp | Surgery | 103 W Martial Ave, Lafayette, LA 70508-6719 | 2016-10-19 |
| 1568913010 | Robert Marriott Medical Corp | Surgery | 330 W Ben White Blvd, Austin, TX 78704-8095 | 2016-10-19 |
| 1003367558 | Robert Marriott Medical Corp | Surgery | 113 W Essex St, Maywood, NJ 07607-1023 | 2016-10-19 |
| 1518418128 | Robert Marriott Medical Corp | Surgery | 4900 E Berry St, Fort Worth, TX 76105-4314 | 2016-10-18 |
| 1356892962 | Robert Marriott Medical Corp | Surgery | 130 Spencer Ln, San Antonio, TX 78201-2109 | 2016-10-18 |
| 1073064689 | Robert Marriott Medical Corp | Surgery | 1175 Denton St, Beaumont, TX 77707-3913 | 2016-10-18 |
| 1619428562 | Robert Marriott Medical Corp | Surgery | 603 E Plantation Dr, Clute, TX 77531-5719 | 2016-10-16 |
| 1164973012 | Robert Marriott Medical Corp | Surgery | 711 Matador Ln, Mesquite, TX 75149-8830 | 2016-10-16 |
| 1083883938 | Robert Marriott Medical Corp | Surgery | 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245-5639 | 2008-02-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ROBERT MARRIOTT MEDICAL CORP. | 28 Liberty Street, New York, New York 10005 |
| Virginia Business Entities | Robert Marriott Medical Corp. | 222 N Pacific Coast Hwy Ste 2175, El Segundo, California 90245-5639 |
| Oregon Corporations, Companies and Business Names | ROBERT MARRIOTT MEDICAL CORP. | 222 North Pacific Coast Hwy, Ste 2175, El Segundo, CA 90245 |
| Oklahoma Business Registrations | ROBERT MARRIOTT MEDICAL CORP. | 863 N Douglas Street, Suite 100, El Segundo, CA 90245 |
| Colorado Business Entities | ROBERT MARRIOTT MEDICAL CORP. | 222 North Pacific Coast Hwy., Ste 1420, El Segundo, CA 90245-5639 |
| Connecticut Business Registrations | ROBERT MARRIOTT MEDICAL CORP. | 222 N Sepulveda Blvd, Suite 2175, El Segundo, CA 90245 |
| Street Address |
713 MIDWAY AVE |
| City | MOUNT AIRY |
| State | MD |
| Zip Code | 21771-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285251710 | Constance B Davis | Occupational Therapist | 713 Midway Ave, Mount Airy, MD 21771-2833 | 2020-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
| 1902112352 | Sun M Park | Pharmacist | 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 | 2010-08-24 |
| 1255589743 | Ronald Giles Manzer | Dentist | 106 Prospect Rd., Suite 5, Mt. Airy, MD 21771 | 2008-09-09 |
| 1689834079 | Megan Marshall Putman | Physician Assistant | 504 E. Ridgeville Blvd, Suite 120, Mt. Airy, MD 21771 | 2008-06-10 |
| 1215075924 | Karen Elizabeth Polichene | Chiropractor | 3039 Gillis Falls Rd, Mt Airy, MD 21771 | 2007-02-02 |
| 1710040985 | Hali Anderson | Physical Therapist | 431 E Ridgeville Blvd, Mt Airy, MD 21771 | 2006-12-19 |
| 1831288786 | Ronald E Miller | Internal Medicine | 4 Culwell Drive, Mt Airy, MD 21771 | 2006-10-11 |
| 1679665624 | Peter James Mellon | Chiropractor | 13002 Penn Shop Road, Mt Airy, MD 21771 | 2006-09-28 |
| 1447222336 | Norman Franklin Fine | Optometrist | 1311 S. Main St. Ste 104, Mount Airy, MD 21771 | 2006-02-03 |
| 1922453109 | Jessica Medani | Internal Medicine | 504 E Ridgeville Blvd, Mount Airy, MD 21771 | 2016-04-26 |
| Find all providers in zip 21771 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831648914 | Novant Medical Group, Inc. | Surgery | 933 Rockford St, Suite 2, Mount Airy, NC 27030-5323 | 2016-09-29 |
| 1700326089 | Northern Hospital of Surry County | Surgery | 708 S South St, Suite 100, Mount Airy, NC 27030-4589 | 2017-03-06 |
| 1801196274 | Mount Airy Surgical Center LLC | Surgery | 205 Center St, Suite 301, Mount Airy, MD 21771-5443 | 2010-11-01 |
| 1720025851 | Wilkes Ent& Audiology, Pllc | Surgery | 708 S South St Ste 300, Mount Airy, NC 27030-4589 | 2006-05-31 |
| 1912995093 | Surry Regional Health Services, Inc. | Surgery | 708 S South St, Suite 100, Mount Airy, NC 27030-4589 | 2005-10-12 |
| 1841291614 | Robert Scott Corbin | Surgery | 708 S South St, Suite 100, Mount Airy, NC 27030-4426 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187052 | Anne Arundel Physician Group, LLC | Surgery | 8116 Good Luck Rd Ste 215, Lanham, MD 20706-3508 | 2020-02-24 |
| 1790246429 | Susan Voss | Surgery | 11402 Allview Dr, Beltsville, MD 20705-3503 | 2019-03-26 |
| 1356806236 | Post-acute Care & Geriatric Surgery LLC | Surgery | 111 Hamlet Hill Rd Unit 911, Baltimore, MD 21210-1513 | 2019-02-05 |
| 1114447935 | Claro Pioroda | Surgery | 1805 Blakefield Cir, Lutherville, MD 21093-4406 | 2017-06-22 |
| 1891220018 | Frank Lewis Jr. | Surgery | 30475 River Rd, Millington, MD 21651-1308 | 2017-04-25 |
| 1770934788 | Saurabh Gupta | Surgery | 15 S Exeter St, Baltimore, MD 21202-4603 | 2016-06-30 |
| 1619332475 | John Dylan Luck | Surgery | 5401 Old Court Rd Dept Of, Randallstown, MD 21133-5103 | 2015-12-22 |
| 1427426337 | Leodegario Ayson Najera Sr. | Surgery | 121 Flying Ebony Place, Havre De Grace, MD 21078 | 2015-09-09 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1336554716 | Jafar Haghshenas | Surgery | 1800 Orleans St # 6107, Baltimore, MD 21287-0010 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT AIRY |
| Zip Code | 21771 |
Please comment or provide details below to improve the information on ROBERT MARRIOTT MEDICAL CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.