RIVER ROAD SURGERY CENTER (NPI# 1023169752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023169752 |
| Entity Type | Organization |
| Organization Name | RIVER ROAD SURGERY CENTER |
| Practice Address |
5110 Ridgefield Road Suite 106 Bethesda MD 20816 |
| Practice Telephone | 3016527130 |
| Practice Fax Number | 3016523170 |
| Mailing Telephone | 3016527130 |
| Mailing Fax Number | 3016523170 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-08-20 |
| Authorized Official Name | MRS. BEVERLY LIGHTY (ADMINISTRATOR) |
| Authorized Official Telephone | 3016527130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A1337 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 300902500 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | RIVER ROAD SURGERY CENTER, LLC | 3099 River Rd S Ste 100, Salem, OR 97302 |
| Street Address |
5110 RIDGEFIELD ROAD SUITE 106 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639127855 | Allan F Mirsky | Clinical Neuropsychologist | 5110 Ridgefield Road, Suite 104, Bethesda, MD 20816 | 2006-05-04 |
| 1558908210 | Rhegina Sinozich | Social Worker | 5110 Ridgefield Road, Suite 403, Bethesda, MD 20816 | 2019-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257756 | Marie Theresa Newman | Registered Nurse | 6211 Winnebago Road, Bethesda, MD 20816 | 2019-04-17 |
| 1336695600 | Corewood Care LLC | In Home Supportive Care | 4701 Sangamore Rd Ste S225, Bethesda, MD 20816 | 2016-08-28 |
| 1184077786 | Bobby Mann | Dentist | 4701 Sangamore Rd Ste 250, Bethesda, MD 20816 | 2016-07-19 |
| 1538572755 | Bethesda-chevy Chase Assessment and Counseling Associates | Social Worker | 4701 Sangamore Rd., #s235, Bethesda, MD 20816 | 2014-06-05 |
| 1982022430 | Kate Poropatich | Student in an Organized Health Care Education/Training Program | 5710 Springfield Dr., Bethesda, MD 20816 | 2014-04-02 |
| 1134567373 | Edwin Gordon | Specialist | 5821 Osceola Rd, Bethesda, MD 20816 | 2013-06-10 |
| 1336470335 | Robin Andrea Ely | Family Medicine | 4633 River Road, Bethesda, MD 20816 | 2010-01-15 |
| 1861630220 | Cheryl Sladkin Altschuler | Pediatrics | 7307 Macarthur Blvd, Suite 200, Bethesda, MD 20816 | 2009-01-22 |
| 1689869323 | Monroe Pray Jr. | Psychiatry & Neurology | 4915 Earlston Dr, Bethesda, MD 20816 | 2007-09-06 |
| 1154426989 | Maryland Cvs Pharmacy LLC | Pharmacy | 4601a Sangamore Rd, Bethesda, MD 20816 | 2006-09-14 |
| Find all providers in zip 20816 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336255827 | Rockville Eye Surgery Center, LLC | Clinic/Center | 4818 Del Ray Ave, First Floor, Bethesda, MD 20814-3014 | 2006-08-21 |
| 1326075250 | Suburban Outpatient Surgery Center, LLC | Clinic/Center | 6420 Rockledge Dr Ste 2100, Bethesda, MD 20817-7841 | 2006-06-27 |
| 1619967726 | John P Lydon Dpm | Clinic/Center | 5620 Shields Dr, Bethesda, MD 20817-3532 | 2005-10-28 |
| 1295385482 | Johns Hopkins Surgery Centers Series | Clinic/Center | 6420 Rockledge Dr Ste 2100, Bethesda, MD 20817-7841 | 2019-09-19 |
| 1659748184 | Surgcenter of The Potomac, LLC | Clinic/Center | 6500 Rock Spring Dr, 100, Bethesda, MD 20817-1105 | 2015-09-01 |
| 1659772648 | Surgical Specialty Center of Mid Atlantic, LLC | Clinic/Center | 6430 Rockledge Dr, Suite # 110, Bethesda, MD 20817-1805 | 2014-09-09 |
| 1972869881 | Advanced Surgery Center of Bethesda, LLC | Clinic/Center | 6430 Rockledge Dr, # 160, Bethesda, MD 20817-1805 | 2012-04-04 |
| 1245529189 | Capitol Surgical Center LLC | Clinic/Center | 6410 Rockledge Dr, Suite 110, Bethesda, MD 20817-1809 | 2011-03-31 |
| 1134431323 | Bethesda Chevy Chase Surgery Center, LLC | Clinic/Center | 6931 Arlington Rd, Suite E, Bethesda, MD 20814-5231 | 2010-07-05 |
| 1881825495 | John P Lydon Dpm | Clinic/Center | 5620 Shields Dr, Bethesda, MD 20817-3532 | 2009-07-30 |
| Find all providers in BETHESDA | ||||
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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.