ADVENTIST PHYSICIAN SERVICES, INC. (NPI# 1972045805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972045805 |
Entity Type | Organization |
Organization Name | ADVENTIST PHYSICIAN SERVICES, INC. |
Other Organization Name | ADVENTIST MEDICAL GROUP |
Practice Address |
22616 Gateway Center Dr Suite E Clarksburg MD 20871-2011 |
Mailing Address |
820 W Diamond Ave Suite 500 Gaithersburg MD 20878-1419 |
Practice Telephone | 2408268600 |
Mailing Telephone | 3013153102 |
Enumeration Date | 2016-11-09 |
Last Update Date | 2016-11-09 |
Authorized Official Name | JAMES G LEE (CFO) |
Authorized Official Telephone | 3013153030 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Adventist Medical Group | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376623207 | Adventist Physician Services, Inc. | Psychiatry & Neurology | 820 West Diamond Avenue, Gaithersburg, MD 20878 | 2006-10-16 |
1134762529 | Adventist Physician Services, Inc. | Psychiatry & Neurology | 11890 Healing Way, Silver Spring, MD 20904-7917 | 2019-10-18 |
1740832666 | Adventist Physician Services, Inc. | Psychiatry & Neurology | 12100 Plum Orchard Dr, Silver Spring, MD 20904-7804 | 2019-07-11 |
1013497700 | Adventist Physician Services, Inc. | Psychiatry & Neurology | 7600 Carroll Ave, Takoma Park, MD 20912 | 2018-08-21 |
1831679521 | Adventist Physician Services, Inc. | Psychiatry & Neurology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2018-08-21 |
1649750332 | Adventist Physician Services, Inc. | Psychiatry & Neurology | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2018-08-21 |
1073055950 | Adventist Physician Services, Inc. | Clinic/Center | 7610 Carroll Ave, Suite 420, Takoma Park, MD 20912-6384 | 2016-11-09 |
1154863090 | Adventist Physician Services, Inc. | Clinic/Center | 100 E Carroll St, Salisbury, MD 21801-5422 | 2016-11-09 |
1598217788 | Adventist Physician Services, Inc. | Psychiatry & Neurology | 9901 Medical Center Dr, Rockville, MD 20850 | 2016-11-04 |
Street Address |
22616 GATEWAY CENTER DR SUITE E |
City | CLARKSBURG |
State | MD |
Zip Code | 20871-2011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659749158 | Kristen Wenrich | Psychologist | 22616 Gateway Center Dr, Suite E, Clarksburg, MD 20871-2011 | 2015-09-14 |
1356880850 | Mindful Living Institute LLC | Family Medicine | 22616 Gateway Center Dr, Suite #600a, Clarksburg, MD 20871-2011 | 2017-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366097578 | Shelah Maul | Speech-Language Pathologist | Clarksburg Elementary School, 13530 Redgrave Place, Clarksburg, MD 20871 | 2019-08-05 |
1013401769 | Thin Phyu Bur | Social Worker | 13446 Dutrow Dr, Clarksburg, MD 20871 | 2018-06-17 |
1750754925 | Milankumar Maheshbhai Patel | Physical Therapist | 23923 Basil Park Circle, Clarksburg, MD 20871 | 2015-11-09 |
1093142796 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 22700 Sweet Shrub Drive, Clarksburg, MD 20871 | 2013-09-26 |
1932493046 | Chidinma Ebele | Case Management | 23447 Tailor Shop Pl, Clarksburg, MD 20871 | 2011-06-06 |
1396036455 | Reliance Home Care | Home Health | 12615 Blue Sky Drive, Clarksburg, MD 20871 | 2011-04-25 |
1063721629 | Clarksburg Medical Center Inc | Ophthalmology | 22616 Gateway Center Dr Ste 600a, Clarksburg, MD 20871 | 2010-09-30 |
1548440787 | Patricia J. Tucker | Social Worker | 21925 Frederick Rd, Clarksburg, MD 20871 | 2007-11-05 |
1316439078 | Clarksburg Dermatology and Skincare LLC | Nurse Practitioner | 23202 Brewers Tavern Way, Clarksburg, MD 20871 | 2018-05-30 |
1487954509 | Sean Park | Pharmacist | 7025 Brookville Rd, Chevy Chase, MD 20871 | 2010-10-22 |
Find all providers in zip 20871 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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Find all providers with the same taxonomy |
City | CLARKSBURG |
Zip Code | 20871 |
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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.