SOUTH RIVER AMBULATORY SURGERY (NPI# 1922148733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922148733 |
| Entity Type | Organization |
| Organization Name | SOUTH RIVER AMBULATORY SURGERY |
| Practice Address |
3168 Braverton St Suite 310 Edgewater MD 21037-2674 |
| Practice Telephone | 4109567777 |
| Practice Fax Number | 4109567186 |
| Mailing Telephone | 4109567777 |
| Mailing Fax Number | 4109567186 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2013-03-01 |
| Authorized Official Name | DR. SANJIV KUMAR SAINI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4109567777 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1256479 | MD | Ambulatory Health Care Facilities |
| Street Address |
3168 BRAVERTON ST SUITE 310 |
| City | EDGEWATER |
| State | MD |
| Zip Code | 21037-2674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013984046 | Nadia Akhmed | Internal Medicine | 3168 Braverton St, 330, Edgewater, MD 21037-2674 | 2006-03-08 |
| 1588021257 | Mackenzie Doshi | Physician Assistant | 3168 Braverton St, Suite 340, Edgewater, MD 21037-2674 | 2016-01-26 |
| 1427331248 | Nadia Akhmed Md Internal Medicine LLC | Internal Medicine | 3168 Braverton St, 330, Edgewater, MD 21037-2674 | 2011-09-28 |
| 1659654465 | Mini Bhaskar Md LLC | Internal Medicine | 3168 Braverton St, 330, Edgewater, MD 21037-2674 | 2011-09-28 |
| 1063749422 | Nicole Marie Masson | Physician Assistant | 3168 Braverton St, Suite 340, Edgewater, MD 21037-2674 | 2009-11-05 |
| 1154548303 | South River Primary Care LLC | Family Medicine | 3168 Braverton St, Suite 330, Edgewater, MD 21037-2674 | 2007-04-19 |
| 1467573386 | Ann M Moore | Speech-Language Pathologist | 3168 Braverton St, Suite 200, Edgewater, MD 21037-2674 | 2007-04-02 |
| 1366453847 | Mini Bhaskar | Internal Medicine | 3168 Braverton St, 330, Edgewater, MD 21037-2674 | 2006-08-10 |
| 1336190248 | Eric Charles Marcalus | Internal Medicine | 3168 Braverton St, Suite 250, Edgewater, MD 21037-2674 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757786 | Bh Brightview South River Opco, LLC | Alzheimer Center (Dementia Center) | 8 Lee Airpark Drive, Edgewater, MD 21037 | 2019-12-12 |
| 1821568486 | Ashlee Christine Rodriguez | Social Worker | 2600 Solomons Island Rd., Edgewater, MD 21037 | 2018-11-27 |
| 1497220826 | Charlotte Lanphear | Physician Assistant | 3168 Braverton St., #340, Edgewater, MD 21037 | 2018-10-12 |
| 1134600224 | Fnu Leena Nathan | Physical Therapist | South River Health and Rehabilitation Center, 144 Washington Road, Edgewater, MD 21037 | 2018-08-27 |
| 1386163020 | Collective Transformation Health Services | Counselor | 1642 Shady Side Dr., Edgewater, MD 21037 | 2017-09-13 |
| 1780933143 | Derek Carroll Curran | Chiropractor | 137 Mitchells Chance Rd Ste 100, Edgewater, MD 21037 | 2012-08-31 |
| 1588936678 | Mark Melanson | Community Health Worker | 144 Washington Street, Edgewater, MD 21037 | 2012-02-03 |
| 1467761643 | Melvyn Paul Heyes | Social Worker | 1444 Shore Drive, Edgewater, MD 21037 | 2010-10-05 |
| 1538301486 | Lori Bennett | Physical Therapist | 3179 Braverton Street, Suite 201, Edgewater, MD 21037 | 2009-03-24 |
| 1427278605 | Patricia Ann Zwald | Registered Nurse | 140 Stepney Lane, Edgewater, MD 21037 | 2007-04-27 |
| Find all providers in zip 21037 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 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 |
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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.