SURGICAL ASSOCIATES CHARTERED


Address: 11370 Pembrooke Sq, Waldorf, MD 20603-4842
Phone: 2404271620

SURGICAL ASSOCIATES CHARTERED (NPI# 1508355470) 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) 1508355470
Entity Type Organization
Organization Name SURGICAL ASSOCIATES CHARTERED
Practice Address 11370 Pembrooke Sq
Waldorf
MD 20603-4842
Mailing Address 5801 Allentown Rd Ste 502
Camp Springs
MD 20746-4653
Practice Telephone 2404271620
Practice Fax Number 3016458663
Mailing Telephone 2404271630
Mailing Fax Number 2404922070
Enumeration Date 2018-05-07
Last Update Date 2018-05-07
Authorized Official Name MRS. RITA GROVER (AUTHORIZED OFFICIAL)
Authorized Official Telephone 2404271630
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name SURGICAL ASSOCIATES CHARTERED

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery Allopathic & Osteopathic Physicians
N 208D00000X General Practice Allopathic & Osteopathic Physicians
N 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 205221100 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003096876 Surgical Associates Chartered Surgery 1667 Crofton Ctr, Suite 1, Crofton, MD 21114-1303 2007-11-09
1447439484 Surgical Associates Chartered Surgery 9811 Greenbelt Rd, Suite 104, Lanham, MD 20706-2215 2007-10-26
1891974838 Surgical Associates Chartered Surgery 6502 Kenilworth Ave, Suite 100, Riverdale, MD 20737-1340 2007-10-26
1659568202 Surgical Associates Chartered Surgery 6502 Kenilworth Ave, Suite 200, Riverdale, MD 20737-1340 2007-09-27
1518954312 Surgical Associates Chartered Surgery 5801 Allentown Rd, Suite 502, Camp Springs, MD 20746-4563 2005-10-05

Office Location

Street Address 11370 PEMBROOKE SQ
City WALDORF
State MD
Zip Code 20603-4842

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912993700 Pembrooke Square Surgery Center, LLC Clinic/Center 11370 Pembrooke Sq, Waldorf, MD 20603-4842 2005-09-27
1548796501 Embarka Chaib Nurse Practitioner 11370 Pembrooke Sq, Waldorf, MD 20603-4842 2017-05-11
1275855637 Meridian Anesthesia Services, LLC Anesthesiology 11370 Pembrooke Sq, Waldorf, MD 20603-4842 2010-02-25
1346350675 Pembrooke Anesthesia Assoc., LLC Anesthesiology 11370 Pembrooke Sq, Waldorf, MD 20603-4842 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437764214 Kelly Weaver Nurse Practitioner 11315 Pembroke Square, 110, Waldorf, MD 20603 2020-09-09
1962937839 Alexis Nicole Smith Specialist/Technologist 6115 Tapir Pl, Waldorf, MD 20603 2017-04-27
1235585472 Msb Counseling Services, Inc Counselor 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 2016-05-06
1619390325 Tara Wood Nurse Practitioner 3070crain Highway, Waldorf, MD 20603 2014-01-31
1649603424 Lauren Ashley White Speech-Language Pathologist 10810 Winchester Street Apt127, Waldorf, MD 20603 2013-08-15
1477810067 Johnathan Vital Clinical Neuropsychologist 2413 Altenburg Ct, Waldorf, MD 20603 2012-04-19
1831480615 Tara Marie Adams Physical Therapist 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 2011-04-27
1891007662 Tanuja Katta Pharmacist 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 2010-07-09
1962725697 Rhonda Bumpers-bland Occupational Therapist 2945 Fern Hill Place, Waldorf, MD 20603 2010-03-09
1265672901 Shannon L Hamm Counselor 6126 Gray Wolf Court, Waldorf, MD 20603 2009-02-20
Find all providers in zip 20603

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730480872 James F Mcguckin Md of Md Pa Surgery 3450 Old Washington Rd Ste 202, Waldorf, MD 20602-3250 2010-11-05
1508931551 Surgical Associates, Chartered Surgery 3510 Old Washington Rd, Waldorf, MD 20602-3233 2006-11-22
1861447401 Surgical Associates, Chartered Surgery 11340 Pembrooke Sq, Suite 213, Waldorf, MD 20603-4808 2006-05-23

Providers in the same taxonomy and state

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
1194952796 James M Salander, Md Pa Surgery 11119 Rockville Pile, #204, Rockville, MD 20852 2009-06-22
1275783292 William Herman Rogers Surgery 38 Arundel Rd, Annapolis, MD 21401-1206 2008-09-26
Find all providers with the same taxonomy

Competitor

Search similar providers

City WALDORF
Zip Code 20603

Improve Information

Please comment or provide details below to improve the information on SURGICAL ASSOCIATES CHARTERED.

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.

Trending Searches