MARYLAND PHYSICIANS EDGE LLC NPI 1164376190

NPI Information

  • NPI: 1164376190
  • Provider Name: MARYLAND PHYSICIANS EDGE LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 6301 EXECUTIVE BLVD
    ROCKVILLE, MD
    ZIP 20852
  • Phone: (301) 770-4967

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NPI Details

MARYLAND PHYSICIANS EDGE LLC is an obstetrics gynecology in Rockville, MD. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MARYLAND PHYSICIANS EDGE LLC NPI is 1164376190. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6301 EXECUTIVE BLVD
ROCKVILLE, MD
ZIP 20852-905
Phone: (301) 770-4967

The provider's authorized official is Tracey M Moran .
The authorized official title is Practice Manager and has the following contact phone number (301) 681-6772.

The enumeration date for this NPI number is 2/25/2026 and was last updated on 2/25/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerNo
21041C0700XSocial WorkerClinicalNo
3171M00000XCase Manager/Care CoordinatorNo
4176B00000XMidwifeNo
5207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic SurgeryNo
6207VG0400XObstetrics & GynecologyGynecologyNo
7207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
8207VX0201XObstetrics & GynecologyGynecologic OncologyNo
92085R0202XRadiologyDiagnostic RadiologyNo
10363A00000XPhysician AssistantNo
11363LF0000XNurse PractitionerFamilyNo
12363LW0102XNurse PractitionerWomen's HealthNo
13367A00000XAdvanced Practice MidwifeNo
14207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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