LAKEFOREST AMBULATORY SURGERY CENTER (NPI# 1326202086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326202086 |
| Entity Type | Organization |
| Organization Name | LAKEFOREST AMBULATORY SURGERY CENTER |
| Other Organization Name | DISTRICT HEIGHTS AMBULATORY SURGERY CENTER |
| Practice Address |
6400 Marlboro Pike District Heights MD 20747-2841 |
| Mailing Address |
702 Russell Ave Suite 103 Gaithersburg MD 20877-2606 |
| Practice Telephone | 3017366900 |
| Practice Fax Number | 3017367180 |
| Mailing Telephone | 3019483668 |
| Mailing Fax Number | 3019267787 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |
| Authorized Official Name | DR. MICHAEL LAWRENCE MICHETTI (MEDICAL DIRECTOR AND OWNER) |
| Authorized Official Telephone | 3019483668 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A1136 | MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| District Heights Ambulatory Surgery Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487779435 | Lakeforest Ambulatory Surgery Center | Clinic/Center | 702 Russell Ave, #301, Gaithersburg, MD 20877-2606 | 2007-03-20 |
| Street Address |
6400 MARLBORO PIKE |
| City | DISTRICT HEIGHTS |
| State | MD |
| Zip Code | 20747-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095795 | Mickey O Mills | Family Medicine | 6400 Marlboro Pike, Upper Level, District Heights, MD 20747 | 2005-07-06 |
| 1770038374 | Titilayo Otunuga | Nurse Practitioner | 6400 Marlboro Pike, District Heights, MD 20747-2841 | 2016-08-24 |
| 1861635427 | Shiva Vatankhahi | Internal Medicine | 6400 Marlboro Pike, District Heights, MD 20747-2841 | 2009-04-13 |
| 1285897603 | Morvarid Alaghmand | Internal Medicine | 6400 Marlboro Pike, District Heights, MD 20747-2841 | 2008-07-07 |
| 1639124696 | Piotr L Grojec | Internal Medicine | 6400 Marlboro Pike, District Heights, MD 20747-2841 | 2006-05-24 |
| 1457306417 | Florentino Nonong Loya | Family Medicine | 6400 Marlboro Pike, District Heights, MD 20747-2841 | 2006-05-24 |
| 1962456962 | Riverside Primary Care Associates LLC | Family Medicine | 6400 Marlboro Pike, District Heights, MD 20747-2841 | 2006-05-22 |
| 1851344097 | Nicole Haskins | Nurse Practitioner | 6400 Marlboro Pike, District Heights, MD 20747-2841 | 2006-05-18 |
| 1952376113 | Diosdado E Ulep | Family Medicine | 6400 Marlboro Pike, District Heights, MD 20747-2841 | 2006-02-21 |
| 1831181759 | Edith M. Rayfield | Family Medicine | 6400 Marlboro Pike, District Heights, MD 20747-2841 | 2005-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362649 | Afua Birago Opoku-debrah | Optometrist | 3309 Forestville Road, Forestville, MD 20747 | 2018-07-02 |
| 1386161644 | Anyinwi Suh Frankai | Home Health Aide | Apt 104 Silver Hill Court, District Heights, MD 20747 | 2017-08-28 |
| 1811418858 | House of Still Inc | Case Management | 5416 Stoney Meadows Drive, District Heights, MD 20747 | 2017-06-29 |
| 1952844193 | Ashley Lynn Roberson | Social Worker | 7610 Pennsylvania Ave Ste 203, Forestville, MD 20747 | 2016-11-20 |
| 1396120622 | Help N Hands Transportation | Non-emergency Medical Transport (VAN) | 6120 Surrey Square Ln, T-3, District Heights, MD 20747 | 2015-07-28 |
| 1912254491 | Robin Maria West | Home Health Aide | 21 Tunic Ave, Capitol Hieghts, MD 20747 | 2012-08-14 |
| 1467713529 | Natasha Tann | Home Health Aide | 1966 Rochelle Ave, # 922, District Heights, MD 20747 | 2012-06-06 |
| 1568755585 | Jamar Domonic Smith | Physical Therapist | 2810 Walters Lane Suite 100, District Heights, MD 20747 | 2011-05-24 |
| 1366615288 | Sld Services | Assisted Living Facility | 7402 Kipling Park Way, District Heights, MD 20747 | 2008-04-11 |
| 1285777375 | Lorenzo Austin | Chiropractor | 5730-a Silver Hill Rd, District Heights, MD 20747 | 2007-02-15 |
| Find all providers in zip 20747 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1942807961 | Vascular Surgery Center of Abingdon | Clinic/Center | 3435 Box Hill Corporate Center Dr Ste H, Abingdon, MD 21009-1204 | 2020-10-02 |
| 1518570084 | Eastside Anesthesia LLC | Clinic/Center | 19 Fontana Ln Ste 104, Rosedale, MD 21237-3027 | 2020-08-25 |
| 1215548524 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 800 Bestgate Rd Ste 200, Annapolis, MD 21401-3016 | 2020-08-11 |
| 1861001372 | Bay Surgery Centers LLC | Clinic/Center | 810 Bestgate Rd Ste 120, Annapolis, MD 21401-3033 | 2020-07-30 |
| 1417566217 | Clearway Surgery Center of Easton, LLC | Clinic/Center | 598 Cynwood Dr Ste 103, Easton, MD 21601-3875 | 2020-07-28 |
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1528680865 | Meridian Surgery Center LLC | Clinic/Center | 19638 Leitersburg Pike Ste 205, Hagerstown, MD 21742-1515 | 2020-05-09 |
| 1346862869 | Nspc Surgery Center of Maryland, LLC | Clinic/Center | 6710 Oxon Hill Rd Ste 550b, Oxon Hill, MD 20745-1117 | 2020-05-07 |
| 1225665292 | Annapolis Endoscopy Center LLC | Clinic/Center | 1419 Forest Dr Ste 105, Annapolis, MD 21403-1474 | 2020-03-26 |
| 1992345748 | Podiatry Associates Ambulatory Surgical Centers LLC | Clinic/Center | 9105 Franklin Square Dr Ste 206, Baltimore, MD 21237-3954 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | DISTRICT HEIGHTS |
| Zip Code | 20747 |
Please comment or provide details below to improve the information on LAKEFOREST AMBULATORY SURGERY CENTER.
| 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.