GWMFA-MEDICAL FACULTY ASSOCIATES, INC


Address: 9715 Medical Center Dr, Suite 230, Rockville, MD 20850-3320
Phone: 2409948650

GWMFA-MEDICAL FACULTY ASSOCIATES, INC (NPI# 1023424363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023424363
Entity Type Organization
Organization Name GWMFA-MEDICAL FACULTY ASSOCIATES, INC
Practice Address 9715 Medical Center Dr
Suite 230
Rockville
MD 20850-3320
Practice Telephone 2409948650
Mailing Telephone 2409948650
Enumeration Date 2014-07-08
Last Update Date 2014-07-10
Authorized Official Name THOMAS KOROTKA (PA-C)
Authorized Official Telephone 2409948650
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
PA031061 DC Ambulatory Health Care Facilities

Office Location

Street Address 9715 MEDICAL CENTER DR
SUITE 230
City ROCKVILLE
State MD
Zip Code 20850-3320

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NPI Name Taxonomy Address Enumeration
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1760840508 Alec M Anders Md Pa Family Medicine 9715 Medical Center Dr, 321, Rockville, MD 20850-3320 2016-02-08
1942608922 Wellbeing Care Pharmacy Pharmacy 9715 Medical Center Dr, Rockville, MD 20850-3320 2014-12-08
1710326061 Fooroogh Ostovari Family Medicine 9715 Medical Center Dr, Rockville, MD 20850-3320 2013-06-20
1285978106 Jennifer Sue Small Nurse Practitioner 9715 Medical Center Dr, #501, Rockville, MD 20850-3320 2012-11-15
1952668329 The Lasik Vision Institute, LLC Clinic/Center 9715 Medical Center Dr, Suite 502, Rockville, MD 20850-3320 2012-04-23
1679839195 Kenneth P Doughty Physician Assistant 9715 Medical Center Dr, Suite 528, Rockville, MD 20850-3320 2012-04-10
1144594169 Roderick Catbagan Physician Assistant 9715 Medical Center Dr, 528, Rockville, MD 20850-3320 2012-03-08
1073811857 Lance G. Leithauser, M D P A Plastic Surgery 9715 Medical Center Dr, Suite 535, Rockville, MD 20850-3320 2011-03-03
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1225480072 Conception Center, Inc. Clinic/Center 3202 Tower Oaks Blvd Ste 370a, Rockville, MD 20852 2016-07-05
1023349909 Piccard Surgery Center, LLC Clinic/Center 1330 Piccard Dr Ste 102, Rockville, MD 20850-4330 2010-01-17
1689850737 Ambulatory General Surgery Center Clinic/Center 9715 Medical Center Dr Ste 435, Rockville, MD 20850-6314 2008-01-18
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1720048242 Maryland Surgery Center for Women LLC Clinic/Center 11400 Rockville Pike, Suite C25, Rockville, MD 20852-3004 2006-03-27
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Competitor

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City ROCKVILLE
Zip Code 20850

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Dataset Information

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.

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