THE SURGERY CLINICS LLC NPI 1285703082

NPI Information

NPI: 1285703082
Provider Name: THE SURGERY CLINICS LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 21D2185110

Address:
20528 BOLAND FARM RD STE 210
GERMANTOWN, MD
ZIP 20876
Phone: (301) 251-0070
Get Directions

THE SURGERY CLINICS LLC is a multi-specialty clinic center in Germantown, MD. THE SURGERY CLINICS LLC NPI is 1285703082. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20528 BOLAND FARM RD STE 210
GERMANTOWN, MD
ZIP 20876-038
Phone: (301) 251-0070
Fax: (301) 251-0071

The provider's authorized official is Jessica Hueso .
The authorized official title is Director Of Operations and has the following contact phone number (301) 251-0070.

The CLIA number assigned to this NPI record is 21D2185110 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 2/19/2024.

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	Primary
1	207Q00000X	Family Medicine		No
2	207RG0100X	Internal Medicine	Gastroenterology	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	No
4	208600000X	Surgery		No
5	2086S0129X	Surgery	Vascular Surgery	No
6	261QM1300X	Clinic/Center	Multi-Specialty	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	385000500	MEDICAID	MARYLAND

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: 4/28/2024

NPI Synchronization or Removal

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