SURGICAL ASSOCIATES, CHARTERED (NPI# 1861447401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861447401 |
| Entity Type | Organization |
| Organization Name | SURGICAL ASSOCIATES, CHARTERED |
| Practice Address |
11340 Pembrooke Sq Suite 213 Waldorf MD 20603-4808 |
| Mailing Address |
7501 Surratts Rd Suite 303 Clinton MD 20735-3362 |
| Practice Telephone | 3016458320 |
| Practice Fax Number | 3016458663 |
| Mailing Telephone | 3018688485 |
| Mailing Fax Number | 3018680638 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MICHELLE BURTON (OFFICE MANAGER) |
| Authorized Official Telephone | 3018688485 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437104767 | Surgical Associates, Chartered | Surgery | 7335 Hanover Pkwy, Suite B, Greenbelt, MD 20770-3623 | 2006-05-24 |
| 1548406960 | Surgical Associates, Chartered | Surgery | 12070 Old Line Ctr, Suite 306, Waldorf, MD 20602-2513 | 2009-01-07 |
| 1922251669 | Surgical Associates, Chartered | Surgery | 5801 Allentown Rd, Suite 502, Camp Springs, MD 20746-4563 | 2008-10-28 |
| 1831342575 | Surgical Associates, Chartered | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6510 Kenilworth Ave, Suite 1100, Riverdale, MD 20737-1339 | 2008-10-28 |
| 1770742082 | Surgical Associates, Chartered | Surgery | 6357 Oxon Hill Rd, Oxon Hill, MD 20745-2214 | 2008-06-03 |
| 1194900068 | Surgical Associates, Chartered | Surgery | 6510 Kenilworth Ave, Suite 2100, Riverdale, MD 20737-1339 | 2008-01-09 |
| 1508931551 | Surgical Associates, Chartered | Surgery | 3510 Old Washington Rd, Waldorf, MD 20602-3233 | 2006-11-22 |
| Street Address |
11340 PEMBROOKE SQ SUITE 213 |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770573891 | William J Delapaz | Obstetrics & Gynecology | 11340 Pembrooke Sq, Suite 203, Waldorf, MD 20603-4808 | 2005-10-28 |
| 1316340201 | Medstar Southern Maryland Physicians, LLC | Obstetrics & Gynecology | 11340 Pembrooke Sq, Suite 203, Waldorf, MD 20603-4808 | 2014-10-06 |
| 1427341593 | Silvia M Abularach | Obstetrics & Gynecology | 11340 Pembrooke Sq, Suite 203, Waldorf, MD 20603-4808 | 2011-05-24 |
| 1033437272 | Endoscopic Associates of Waldorf Pa | Anesthesiology | 11340 Pembrooke Sq, Suite 202, Waldorf, MD 20603-4808 | 2010-05-12 |
| 1235391749 | Meghan Elizabeth Malentacchi | Obstetrics & Gynecology | 11340 Pembrooke Sq, Ste 203, Waldorf, MD 20603-4808 | 2008-06-26 |
| 1285682757 | Ashima Saini | Internal Medicine | 11340 Pembrooke Sq, Suite 201, Waldorf, MD 20603-4808 | 2006-05-05 |
| 1467419820 | Boris G Naydich | Radiology | 11340 Pembrooke Sq, Suite 201, Waldorf, MD 20603-4808 | 2006-04-28 |
| 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 Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1265600522 | Eleanor Court Faherty | Surgery | 11340 Pembrooke Sq Ste 202, Waldorf, MD 20603-4808 | 2008-02-20 |
| 1508932666 | Pradip Sahdev | Surgery | 3450 Old Washington Road Ste 202, Waldorf, MD 20602 | 2006-11-28 |
| 1508355470 | Surgical Associates Chartered | Surgery | 11370 Pembrooke Sq, Waldorf, MD 20603-4842 | 2018-05-07 |
| 1477098127 | Southern Maryland General Surgery LLC | Surgery | 3261 Old Washington Rd, Suite 1012, Waldorf, MD 20602-3223 | 2017-01-04 |
| 1912145707 | Phillip Sherman Ragland | Surgery | 3261 Old Washington Rd, Suite 2011, Waldorf, MD 20602-3223 | 2009-02-02 |
| 1548406960 | Surgical Associates, Chartered | Surgery | 12070 Old Line Ctr, Suite 306, Waldorf, MD 20602-2513 | 2009-01-07 |
| 1881606770 | Abdel Aziz Basha El Said | Surgery | 3261 Old Washington Rd, Suite 1012, Waldorf, MD 20602-3223 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187052 | Anne Arundel Physician Group, LLC | Surgery | 8116 Good Luck Rd Ste 215, Lanham, MD 20706-3508 | 2020-02-24 |
| 1790246429 | Susan Voss | Surgery | 11402 Allview Dr, Beltsville, MD 20705-3503 | 2019-03-26 |
| 1356806236 | Post-acute Care & Geriatric Surgery LLC | Surgery | 111 Hamlet Hill Rd Unit 911, Baltimore, MD 21210-1513 | 2019-02-05 |
| 1114447935 | Claro Pioroda | Surgery | 1805 Blakefield Cir, Lutherville, MD 21093-4406 | 2017-06-22 |
| 1891220018 | Frank Lewis Jr. | Surgery | 30475 River Rd, Millington, MD 21651-1308 | 2017-04-25 |
| 1003367566 | Robert Marriott Medical Corp | Surgery | 713 Midway Ave, Mount Airy, MD 21771-2833 | 2016-10-19 |
| 1770934788 | Saurabh Gupta | Surgery | 15 S Exeter St, Baltimore, MD 21202-4603 | 2016-06-30 |
| 1619332475 | John Dylan Luck | Surgery | 5401 Old Court Rd Dept Of, Randallstown, MD 21133-5103 | 2015-12-22 |
| 1427426337 | Leodegario Ayson Najera Sr. | Surgery | 121 Flying Ebony Place, Havre De Grace, MD 21078 | 2015-09-09 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| Find all providers with the same taxonomy | ||||
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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.