SURGICAL SUPPORT SERVICES LLC (NPI# 1013341171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013341171 |
| Entity Type | Organization |
| Organization Name | SURGICAL SUPPORT SERVICES LLC |
| Practice Address |
12439 Walnut Hill Drive Rockville VA 23146 |
| Mailing Address |
P.o Box 99 Rockville VA 23146 |
| Practice Telephone | 8047494249 |
| Mailing Telephone | 8047494249 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |
| Authorized Official Name | PRESCOTT WADE PRILLAMAN (PRESIDENT) |
| Authorized Official Telephone | 8046835849 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Surgical Support Services LLC | 12439 Walnut Hill Drive, Rockville, Virginia 23146 |
| Street Address |
12439 WALNUT HILL DRIVE |
| City | ROCKVILLE |
| State | VA |
| Zip Code | 23146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285832618 | Donald Wayne Mclaren | Family Medicine | 16492 Mlc Ln, Rockville, VA 23146 | 2007-07-06 |
| 1588895387 | John Robert Rhodeback | Contractor | 11474 Pinhook Rd, Rockville, VA 23146-1507 | 2009-07-29 |
| 1326459132 | John Robert Construction & Repair | Contractor | 11474 Pinhook Rd, Rockville, VA 23146-1507 | 2014-05-14 |
| 1669002705 | Lindsay Foster | Massage Therapist | 13080 Big Rock Ln, Rockville, VA 23146-1546 | 2020-01-16 |
| 1386674323 | Haviland Corporation | Durable Medical Equipment & Medical Supplies | 19411 Explorer Ridge Rd, Rockville, VA 23146-1552 | 2006-07-04 |
| 1144388695 | Tamera Cauthorne-burnette | Nurse Practitioner | 12268 Old Country Rd, Rockville, VA 23146-1627 | 2006-12-05 |
| 1295262038 | Nichole Lafortune | Specialist/Technologist | 17556 Carrington Glen Lane, Rockville, VA 23146-1650 | 2017-05-11 |
| 1881030633 | Cheryl C. Sale | Audiologist | 11501 Primrose Ln, Rockville, VA 23146-1745 | 2013-05-21 |
| 1942404066 | Van Wagner Williams IIi | Family Medicine | 16492 Mlc Ln, Rockville, VA 23146-1857 | 2007-06-13 |
| 1972908200 | Anita Kelly Collins | Family Medicine | 16492 Mlc Ln, Rockville, VA 23146-1857 | 2014-10-29 |
| Find all providers in zip 23146 | ||||
| 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 |
|---|---|---|---|---|
| 1235487836 | Maryland Bariatrics PC | Surgery | 9707 Medical Center Dr # 200, Rockville, MD 20850 | 2012-08-29 |
| 1235497827 | Joseph Greene | Surgery | 9707 Medical Center Drive, Suite 200, Rockville, MD 20850 | 2012-05-02 |
| 1457544439 | Carolyn Marie Dresler | Surgery | 4419 Renn St, Rockville, MD 20853-2747 | 2007-08-22 |
| 1215127790 | Rami Makhoul | Surgery | 4701 Randolph Rd Ste 203, Rockville, MD 20852-2261 | 2007-07-31 |
| 1710914361 | Daniel C Chong | Surgery | 14346 Potomac Heights Ln, Rockville, MD 20850-3844 | 2006-06-27 |
| 1174507297 | Joshua J Felsher | Surgery | 9715 Medical Center Dr Ste 233, Rockville, MD 20850 | 2005-12-01 |
| 1104138221 | Surupa Sen Gupta | Surgery | 9715 Medical Center Dr, Suite 327, Rockville, MD 20850-3320 | 2010-07-06 |
| 1124263876 | Advanced Weight Loss Surgery | Surgery | 9707 Medical Center Dr, Suite 200, Rockville, MD 20850-3348 | 2008-12-10 |
| 1396902227 | Tuesday F. A. Cook | Surgery | 9707 Medical Center Dr, Suite 200, Rockville, MD 20850-3348 | 2008-05-19 |
| 1265603021 | John J. O'connor Md PC | Surgery | 11125 Rockville Pike, Suite 308, Rockville, MD 20852-3142 | 2008-03-19 |
| Find all providers in ROCKVILLE | ||||
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| 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.