AMBULATORY PLASTIC SURGERY CENTER ASSOCIATES, CHARTERED (NPI# 1093908923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093908923 |
| Entity Type | Organization |
| Organization Name | AMBULATORY PLASTIC SURGERY CENTER ASSOCIATES, CHARTERED |
| Practice Address |
15245 Shady Grove Rd Suite 155 Rockville MD 20850-3222 |
| Practice Telephone | 2409124708 |
| Practice Fax Number | 2409126992 |
| Mailing Telephone | 2409124708 |
| Mailing Fax Number | 2409126992 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | MICHAEL PAUL VINCENT (PRESIDENT) |
| Authorized Official Telephone | 2409124708 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP NUMBER | G01044 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144255415 | Ambulatory Plastic Surgery Center Associates, Chartered | Clinic/Center | 15245 Shady Grove Rd, Suite 155, Rockville, MD 20850-3222 | 2006-07-12 |
| Street Address |
15245 SHADY GROVE RD SUITE 155 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921665 | Ravi Passi | Internal Medicine | 15245 Shady Grove Rd, Suite 130, Rockville, MD 20850-3222 | 2005-06-10 |
| 1851905103 | Katherine Sophia Bredikin | Speech-Language Pathologist | 15245 Shady Grove Rd, Rockville, MD 20850-3222 | 2020-09-03 |
| 1013534726 | Melissa Weiner | Speech-Language Pathologist | 15245 Shady Grove Rd, Rockville, MD 20850-3222 | 2020-06-29 |
| 1184272403 | Blessing Nwaneri | Internal Medicine | 15245 Shady Grove Rd, Rockville, MD 20850-3222 | 2019-08-29 |
| 1255991857 | Kayla O'connor | Speech-Language Pathologist | 15245 Shady Grove Rd, Rockville, MD 20850-3222 | 2019-06-17 |
| 1194262428 | Washington Vascular Specialists of Hagerstown | Internal Medicine | 15245 Shady Grove Rd, Suit 325, Rockville, MD 20850-3222 | 2017-01-25 |
| 1083151310 | Washington Vascular Specialists of Pg County | Surgery | 15245 Shady Grove Rd, Suit 325, Rockville, MD 20850-3222 | 2017-01-25 |
| 1801332804 | Washington Vascular Specialists of Frederick | Surgery | 15245 Shady Grove Rd, Suite 325, Rockville, MD 20850-3222 | 2017-01-13 |
| 1972047389 | Ancy C Palakunnel | Nurse Practitioner | 15245 Shady Grove Rd, Suite 130, North Lobby, Rockville, MD 20850-3222 | 2016-12-05 |
| 1982147575 | Isaac Ford | Physical Therapist | 15245 Shady Grove Rd, Suite C-100, Rockville, MD 20850-3222 | 2016-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548349103 | Gregory O Dick | Plastic Surgery | 9711 Medical Center Dr Ste 100, Rockville, MD 20850-3382 | 2006-11-03 |
| 1578510202 | Adam G Tattelbaum | Plastic Surgery | 3203 Tower Oaks Blvd, #200, Rockville, MD 20852-4258 | 2006-05-28 |
| 1730452905 | John S Eng Md Pa | Plastic Surgery | 11404 Old Georgetown Rd, Suite 206, Rockville, MD 20852-2865 | 2012-02-17 |
| 1073811857 | Lance G. Leithauser, M D P A | Plastic Surgery | 9715 Medical Center Dr, Suite 535, Rockville, MD 20850-3320 | 2011-03-03 |
| 1134205057 | Frederick Harvey Watkins Iv | Plastic Surgery | 3203 Tower Oaks Blvd, #200, Rockville, MD 20852 | 2006-10-31 |
| 1194801530 | Salman Ashruf Md Pa | Plastic Surgery | 9707 Medical Center Dr, Suite 310, Rockville, MD 20850-3348 | 2006-10-28 |
| 1942311469 | Robert B Karp | Plastic Surgery | 11119 Rockville Pike, Suite G100, Rockville, MD 20852-3143 | 2006-08-31 |
| 1720092901 | Yoon Plastic Surgery, Md, LLC | Plastic Surgery | 9715 Medical Center Dr, Suite 233, Rockville, MD 20850-3320 | 2006-07-27 |
| 1497794671 | John S Eng | Plastic Surgery | 11404 Old Georgetown Rd, Suite 206, Rockville, MD 20852-2865 | 2006-06-05 |
| 1730164369 | Sung W Yoon | Plastic Surgery | 9715 Medical Center Dr, Suite 233, Rockville, MD 20850-3320 | 2005-12-06 |
| Find all providers in ROCKVILLE | ||||
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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.