VASCULAR ACCESS CENTER OF SOUTHERN MARYLAND LLC (NPI# 1366848632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366848632 |
| Entity Type | Organization |
| Organization Name | VASCULAR ACCESS CENTER OF SOUTHERN MARYLAND LLC |
| Practice Address |
7651 Matapeake Business Dr Suite 101 Brandywine MD 20613-3038 |
| Mailing Address |
2929 Arch Street Suite 1705 Philadelphia PA 19104-2866 |
| Practice Telephone | 3017829111 |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | SETH SHARPE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2153823680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
7651 MATAPEAKE BUSINESS DR SUITE 101 |
| City | BRANDYWINE |
| State | MD |
| Zip Code | 20613-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861899049 | Brook Dialysis LLC | Clinic/Center | 7651 Matapeake Business Dr, Suite 206, Brandywine, MD 20613-3038 | 2014-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689176018 | Joseph Delonte Snider | Social Worker | 15912 Crain Hwy Ste B174, Brandywine, MD 20613 | 2018-03-01 |
| 1881104065 | Ally Infusion, LLC | Clinic/Center | 7651 Matapeake Bus Dr Ste 103, Brandywine, MD 20613 | 2017-10-02 |
| 1619418001 | Delante Mckinnon | Home Health Aide | 13306 Craine Hwy, Brandywine, MD 20613 | 2017-03-17 |
| 1346604295 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 13950 Bradywine Road, Brandywine, MD 20613 | 2016-04-07 |
| 1053779116 | Medstar Surgery Center At Brandywine, LLC | Clinic/Center | 13950 Brandywine Road, Suite 100, Brandywine, MD 20613 | 2016-02-04 |
| 1649654948 | Innersense Behavioral Health, Inc. | Counselor | 13508 Stoney Creek Lane, Brandywine, MD 20613 | 2015-07-16 |
| 1043588817 | Neibauer Dental Care, PC | Dentist | 7651 Matapeake Business Drive Suite 106, Brandywine, MD 20613 | 2011-12-08 |
| 1376829804 | Danielle Lasure-bryant | Counselor | 11600 Cedarville Road, Brandywine, MD 20613 | 2011-10-28 |
| 1164664405 | Adenike Olayinka Gbenle | Dentist | 7450 Clymer Dr, Brandywine, MD 20613 | 2009-04-01 |
| 1841466919 | Communit Support System 'css LLC'. | Home Health | 6307 Brechib Dr, Brandywine, MD 20613 | 2008-05-07 |
| Find all providers in zip 20613 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678731 | Nova Vascular Specialists, LLC | Surgery | 1952 Pulaski Hwy Ste B-2, Edgewood, MD 21040-1658 | 2020-01-24 |
| 1033683339 | Vein and Vascular Institute of Central Maryland | Surgery | 1300 York Rd Ste 200, Lutherville, MD 21093-6090 | 2019-01-20 |
| 1932651312 | Elham Oumer | Surgery | 8730 Cherry Ln Ste 10, Laurel, MD 20707-6212 | 2016-11-01 |
| 1255742961 | Marta Vismer | Surgery | 19942 Gateshead Cir, Germantown, MD 20876-6311 | 2014-05-15 |
| 1023448305 | Samer Saiedy Md Gb LLC | Surgery | 1811 Crain Hwy S, Glen Burnie, MD 21061-5561 | 2013-11-22 |
| 1285077289 | Lucy Kupersmith | Surgery | 2002 Medical Pkwy Ste 502, Annapolis, MD 21401 | 2013-04-10 |
| 1316227150 | Joshua Dearing | Surgery | 7503 Surratts Rd Ste 208, Clinton, MD 20735-3358 | 2011-08-25 |
| 1861782492 | Norman Anthony Odyniec | Surgery | 9208 Levelle Dr, Chevy Chase, MD 20815-5604 | 2011-04-16 |
| 1730480872 | James F Mcguckin Md of Md Pa | Surgery | 3450 Old Washington Rd Ste 202, Waldorf, MD 20602-3250 | 2010-11-05 |
| 1194952796 | James M Salander, Md Pa | Surgery | 11119 Rockville Pile, #204, Rockville, MD 20852 | 2009-06-22 |
| Find all providers with the same taxonomy | ||||
| City | BRANDYWINE |
| Zip Code | 20613 |
Please comment or provide details below to improve the information on VASCULAR ACCESS CENTER OF SOUTHERN MARYLAND LLC.
| 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.