SURGICAL ASSOCIATES, CHARTERED (NPI# 1922251669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922251669 |
| Entity Type | Organization |
| Organization Name | SURGICAL ASSOCIATES, CHARTERED |
| Practice Address |
5801 Allentown Rd Suite 502 Camp Springs MD 20746-4563 |
| Mailing Address |
7501 Surratts Rd Suite 303 Clinton MD 20735-3362 |
| Practice Telephone | 2404271760 |
| Practice Fax Number | 2404271790 |
| Mailing Telephone | 3018688485 |
| Mailing Fax Number | 3018680638 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | MICHELLE BURTON (CREDENTIALING/CONTRACTS MANAGER) |
| Authorized Official Telephone | 3018688485 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | H0061922 | MD | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D0028639 | MD | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | D0026021 | MD | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | D0059944 | MD | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D0024644 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | 429555 | 01 | |
| PTAN | KN56 | 01 |
| 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 |
| 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 |
| 1861447401 | Surgical Associates, Chartered | Surgery | 11340 Pembrooke Sq, Suite 213, Waldorf, MD 20603-4808 | 2006-05-23 |
| Street Address |
5801 ALLENTOWN RD SUITE 502 |
| City | CAMP SPRINGS |
| State | MD |
| Zip Code | 20746-4563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609350982 | Carole Eileen Hachem | Nurse Practitioner | 5801 Allentown Rd, Camp Springs, MD 20746-4563 | 2018-09-21 |
| 1225585136 | Kirstin's Haven, Inc | Case Management | 5801 Allentown Rd, 310, Camp Springs, MD 20746-4563 | 2016-09-08 |
| 1629421789 | Kirstin Care LLC | Community/Behavioral Health | 5801 Allentown Rd, Suite 310, Camp Springs, MD 20746-4563 | 2016-07-13 |
| 1770941379 | Lucy O Hough | Occupational Therapy Assistant | 5801 Allentown Rd, Suite 410, Camp Springs, MD 20746-4563 | 2016-02-10 |
| 1609259670 | Amber Uhrin | Occupational Therapy Assistant | 5801 Allentown Rd, Suite 410, Camp Springs, MD 20746-4563 | 2015-07-08 |
| 1003178963 | Michael A King Dds LLC | Dentist | 5801 Allentown Rd, Suite 408, Camp Springs, MD 20746-4563 | 2012-06-15 |
| 1932483443 | Washington Dc Vamc | Clinic/Center | 5801 Allentown Rd, Suites 103, 104 &106, Camp Springs, MD 20746-4563 | 2011-10-03 |
| 1487985727 | Allentown Surgery Center, LLC | Clinic/Center | 5801 Allentown Rd, Suite 502, Camp Springs, MD 20746-4563 | 2010-01-27 |
| 1295068542 | Joseph Andre Bastien | Surgery | 5801 Allentown Rd, Suite 502, Camp Springs, MD 20746-4563 | 2009-09-17 |
| 1275776791 | Anesthesia Services of Southern Maryland Pa | Specialist | 5801 Allentown Rd, Suite 502, Camp Springs, MD 20746 | 2009-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083186217 | A1 Surgical Services L.L.C. | Specialist/Technologist, Other | 6710 Oxon Hill Rd #150, Oxon Hill, MD 20746 | 2018-12-28 |
| 1316427610 | Ryan Rehabilitation LLC | Counselor | 5210 Auth Rd Ste 100, Suitland, MD 20746 | 2018-08-16 |
| 1669968616 | Monica Heleine Veney | Home Health | 3220 Swann Rd Apt 102, Suitland, MD 20746 | 2018-07-02 |
| 1578078804 | Center for Pain Management, LLC | Pain Medicine | 5801 Allentown Road, 503, Suitland, MD 20746 | 2017-12-08 |
| 1811424153 | Dimonique Brandon | Home Health Aide | 4260, Suitland Rd Apt 104, Suitland, MD 20746 | 2017-05-17 |
| 1831559772 | Commie Anana | Pharmacist | 4705 Silver Hill Rd, Suitland, MD 20746 | 2016-03-04 |
| 1821475682 | Maryland Care of Camp Springs LLC | Clinic/Center | 4703 Old Soper Road, Suite R-1, Camp Springs, MD 20746 | 2015-04-30 |
| 1356759708 | Therapy Associates, LLC | Physical Therapist | 5625 Allentown Road, Suite 200, Suitland, MD 20746 | 2014-07-29 |
| 1710223441 | Rosemary Ufumwen | Home Health Aide | 3928 Suitland Road, 3, Suitland, MD 20746 | 2012-12-28 |
| 1174798250 | Seanta Renitta Cleveland | Specialist/Technologist | 5602 Auth Way, Camp Springs, MD 20746 | 2008-04-29 |
| Find all providers in zip 20746 | ||||
| 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 | CAMP SPRINGS |
| Zip Code | 20746 |
Please comment or provide details below to improve the information on SURGICAL ASSOCIATES, CHARTERED.
| 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.