MARYLAND PHYSICIANS EDGE LLC (NPI# 1144252859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144252859 |
| Entity Type | Organization |
| Organization Name | MARYLAND PHYSICIANS EDGE LLC |
| Other Organization Name | OBSTETRICS AND GYNECOLOGY ASSOCIATES AMBULATORY SURGERY CENTER |
| Practice Address |
1400 Forest Glen Rd Suite 500 Silver Spring MD 20910-1459 |
| Practice Telephone | 3016816772 |
| Practice Fax Number | 3016810672 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-08-14 |
| Authorized Official Name | DR. PETER GLASS (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 3016816772 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANTIA HOLDINGS OF MARYLAND LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A1169 | MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Maryland Physicians Edge, PC | Former Legal Business Name - Organization |
| Obstetrics and Gynecology Associates Ambulatory Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972922920 | Maryland Physicians Edge LLC | Anesthesiology | 1400 Forest Glen Rd, 500, Silver Spring, MD 20910-1459 | 2014-04-07 |
| Street Address |
1400 FOREST GLEN RD SUITE 500 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20910-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483127 | Steven F Mazer | Orthopaedic Surgery | 1400 Forest Glen Rd, Suite 400, Silver Spring, MD 20910-1459 | 2005-08-09 |
| 1861932170 | Advantia Holdings of Maryland LLC | Pain Medicine | 1400 Forest Glen Rd, Suite 500, Silver Spring, MD 20910-1459 | 2017-03-06 |
| 1457738452 | Renwu Chen LLC | Specialist | 1400 Forest Glen Rd, 225, Silver Spring, MD 20910-1459 | 2015-04-29 |
| 1881088136 | Gregory C. Mathews, Md, LLC | Psychiatry & Neurology | 1400 Forest Glen Rd, Suite 225, Silver Spring, MD 20910-1459 | 2015-03-25 |
| 1306238423 | Maryland Endocrine Care, LLC | Internal Medicine | 1400 Forest Glen Rd, Suite 225, Silver Spring, MD 20910-1459 | 2015-02-26 |
| 1205226719 | Rachel M Noble | Counselor | 1400 Forest Glen Rd, Suite 500, Silver Spring, MD 20910-1459 | 2015-02-04 |
| 1972922920 | Maryland Physicians Edge LLC | Anesthesiology | 1400 Forest Glen Rd, 500, Silver Spring, MD 20910-1459 | 2014-04-07 |
| 1144652918 | Bonnie L Torres | Physical Therapist | 1400 Forest Glen Rd, Suite 400, Silver Spring, MD 20910-1459 | 2013-08-05 |
| 1841630001 | Donna H Shimshi | Physical Medicine & Rehabilitation | 1400 Forest Glen Rd, Suite 400, Silver Spring, MD 20910-1459 | 2013-07-02 |
| 1124364575 | Nihar Ganju | Obstetrics & Gynecology | 1400 Forest Glen Rd, Suite 500, Silver Spring, MD 20910-1459 | 2012-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501966 | Marie J Celeste | Developmental Therapist | 623 Ray Dr, Silver Spring, MD 20910 | 2019-08-01 |
| 1205398054 | Maria Andrea Binger | Speech-Language Pathologist | Rosemary Hills Elementary School, 2111 Porter Road, Silver Spring, MD 20910 | 2019-04-02 |
| 1053882803 | Margaret A Avallone | Speech-Language Pathologist | 1515 Sharon Drive, Silver Spring, MD 20910 | 2018-12-05 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1669951927 | Camille Smith Espinoza | Social Worker | 8601 Georgia Ave Ste 712, Silver Spring, MD 20910 | 2018-08-08 |
| 1053838615 | Grace Elaine Lozano | Behavior Technician | 8609 2nd Ave Suite 506b, Suite 506b, Silver Spring, MD 20910 | 2017-08-24 |
| 1417471160 | Sooin Lee | Dentist | 923 Bonifant St Unit 1, Silver Spring, MD 20910 | 2017-08-02 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
| 1720530363 | Aurore Ondongo | Nurse's Aide | 8600 16th Street, Apt 909, Silver Spring, MD 20910 | 2016-10-31 |
| 1700239993 | Kelli Teresa Harkless | Advanced Practice Midwife | 1400 Forest Glen Rd Ste 525, Silver Spring, MD 20910 | 2016-07-22 |
| Find all providers in zip 20910 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164084000 | Washington Surgery Center, LLC. | Clinic/Center | 11272 Georgia Ave, Silver Spring, MD 20902-7633 | 2019-07-01 |
| 1396983847 | Eye Surgery Center LLC | Clinic/Center | 8905 Fairview Road, Suite 100, Silver Spring, MD 20910-4147 | 2009-01-21 |
| 1730197633 | Surgery Center of Maryland LLC | Clinic/Center | 3801 International Drive, Suite 300, Silver Spring, MD 20906 | 2006-08-04 |
| 1477542520 | The Eye Surgery Center, Ltd. | Clinic/Center | 8905 Fairview Rd, Suite #100, Silver Spring, MD 20910-4150 | 2005-10-20 |
| 1740529064 | Asc Development Company, LLC | Clinic/Center | 8455 Colesville Rd, 2nd Floor, Silver Spring, MD 20910-3315 | 2013-02-06 |
| 1962788059 | Surgcenter of Silver Spring, LLC | Clinic/Center | 8710 Cameron St, 100, Silver Spring, MD 20910-3703 | 2011-11-02 |
| 1972886190 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 3801 International Dr, Suite 300, Silver Spring, MD 20906-1550 | 2011-09-23 |
| 1427386051 | Lockwood Ambulatory Surgery Center, L.L.C. | Clinic/Center | 10801 Lockwood Dr, Suite 260, Silver Spring, MD 20901-1556 | 2009-11-19 |
| 1457582835 | Montgomery Endoscopy Center | Clinic/Center | 12012 Veirs Mill Rd, Silver Spring, MD 20906-4513 | 2009-08-03 |
| 1386820694 | Uro-center Ambulatory Surgical Center LLC | Clinic/Center | 11161 New Hampshire Ave, Suite 400, Silver Spring, MD 20904-2606 | 2008-01-16 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20910 |
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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.