SHADY GROVE SURGERY CENTER LLC (NPI# 1194222620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194222620 |
| Entity Type | Organization |
| Organization Name | SHADY GROVE SURGERY CENTER LLC |
| Practice Address |
2403 Research Blvd Ste 200 Rockville MD 20850-6289 |
| Practice Telephone | 2409124546 |
| Practice Fax Number | 2409124471 |
| Mailing Telephone | 2409124546 |
| Mailing Fax Number | 2409124471 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | KATHY MICHELLE JONES (OFFICE MANAGER) |
| Authorized Official Telephone | 2409124546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
2403 RESEARCH BLVD STE 200 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-6289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962850610 | John D Paulson Md PC | Obstetrics & Gynecology | 5901 Montrose Rd Apt S700, Rockville, MD 20852-4750 | 2016-06-02 |
| 1942613088 | Sara Mirghani | Obstetrics & Gynecology | 9715 Medical Center Dr Ste 330, Rockville, MD 20850 | 2014-06-06 |
| 1891121729 | Rockville Gynecology LLC | Obstetrics & Gynecology | 9715 Medical Center Dr Ste 530, Rockville, MD 20850-3362 | 2013-09-24 |
| 1992149876 | Cheryl N Silverbrook | Obstetrics & Gynecology | 11200 Rockville Pike Ste 205, Rockville, MD 20852-3103 | 2013-04-23 |
| 1588930093 | Ran Xie | Obstetrics & Gynecology | 121 Congressional Ln Ste 402, Rockville, MD 20852 | 2012-03-29 |
| 1760757314 | Johnson Fan Md.pa. | Obstetrics & Gynecology | 5824 Hubbard Dr, Rockville, MD 20852-4818 | 2012-03-15 |
| 1447523915 | Amy J Byer Md PC | Obstetrics & Gynecology | 121 Congressional Ln Ste 316, Rockville, MD 20852-1542 | 2012-02-14 |
| 1205107281 | Solange Nten Eloundou | Obstetrics & Gynecology | 15005 Shady Grove Rd Ste 120, Rockville, MD 20850 | 2012-01-23 |
| 1720373723 | Dena R Hixon | Obstetrics & Gynecology | 7520 Standish Pl # 2210, Rockville, MD 20855-7706 | 2011-06-17 |
| 1891011680 | Adam S Footer | Obstetrics & Gynecology | 2301 Research Blvd Ste 210, Rockville, MD 20850-3293 | 2010-04-19 |
| 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.