SUBURBAN HOSPITAL, INC. (NPI# 1528096690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528096690 |
| Entity Type | Organization |
| Organization Name | SUBURBAN HOSPITAL, INC. |
| Other Organization Name | SUBURBAN HOSPITAL RADIATION ONCOLOGY INFUSION CENTER |
| Practice Address |
6420 Rockledge Dr Suite 1200 Bethesda MD 20817-7837 |
| Mailing Address |
8600 Old Georgetown Rd Bethesda MD 20814-1422 |
| Practice Telephone | 3018963901 |
| Mailing Telephone | 3018963901 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2011-12-19 |
| Authorized Official Name | MR. BRIAN A. GRAGNOLATI (PRESIDENT) |
| Authorized Official Telephone | 3018962574 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUBURBAN HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 15332 | MD | Ambulatory Health Care Facilities |
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
15332 | MD | Ambulatory Health Care Facilities |
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
15332 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | BLUE CROSS OF NCA | 715 | 01 |
| MD | 419126900 | 05 | |
| MD | BLUE CROSS OF MARYLAND | 57352101 | 01 |
| Other Name | Type Code |
|---|---|
| Suburban Hospital Radiation Oncology Infusion Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356651376 | Suburban Hospital, Inc. | Clinical Medical Laboratory | 6410 Rockledge Dr, Suite 150, Bethesda, MD 20817-1809 | 2010-10-08 |
| 1225361751 | Suburban Hospital, Inc. | Clinic/Center | 6420 Rockledge Dr, Suite 4100, Bethesda, MD 20817-7837 | 2009-09-16 |
| 1871761007 | Suburban Hospital, Inc. | Registered Nurse | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2008-02-11 |
| 1891979845 | Suburban Hospital, Inc. | Counselor | 6001 Montrose Rd, Rockville, MD 20852-4817 | 2007-12-27 |
| 1205896446 | Suburban Hospital, Inc. | Psychiatric Hospital | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2006-03-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUBURBAN HOSPITAL, INC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Street Address |
6420 ROCKLEDGE DR SUITE 1200 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-7837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849716 | Stephen S. Pappas Jr. | Ophthalmology | 6420 Rockledge Dr, Ste 4900, Bethesda, MD 20817-7848 | 2005-05-31 |
| 1497364400 | Joyce Hamba | Obstetrics & Gynecology | 6420 Rockledge Dr, Bethesda, MD 20817-7837 | 2020-07-26 |
| 1649722166 | Kevin I. Perman, Md PC | Ophthalmology | 6420 Rockledge Dr, Suite 4300, Bethesda, MD 20817-7837 | 2016-11-01 |
| 1205290129 | Albert Cytryn Md P.C. | Ophthalmology | 6420 Rockledge Dr, Suite 4300, Bethesda, MD 20817-7837 | 2016-04-06 |
| 1376910331 | Breanna Whitlock | Registered Nurse | 6420 Rockledge Dr, Suite 4100, Bethesda, MD 20817-7837 | 2015-08-26 |
| 1417345950 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 6420 Rockledge Dr, Suite 4290, Bethesda, MD 20817 | 2015-01-07 |
| 1407272396 | Jessica Anne Mukherjee | Registered Nurse | 6420 Rockledge Dr, Suite 4200, Bethesda, MD 20817-7837 | 2014-03-15 |
| 1104104280 | Elan Reisin Md Facs LLC | Plastic Surgery | 6420 Rockledge Dr, Suite 2300, Bethesda, MD 20817-7837 | 2011-07-24 |
| 1225361751 | Suburban Hospital, Inc. | Clinic/Center | 6420 Rockledge Dr, Suite 4100, Bethesda, MD 20817-7837 | 2009-09-16 |
| 1700013521 | Shaun Chandra Desai | Otolaryngology | 6420 Rockledge Dr, Suite 4920, Bethesda, MD 20817-7837 | 2009-06-18 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528574860 | Peter Mathen | Clinic/Center | 10 Center Dr Rm B2-3671, Bethesda, MD 20892-0001 | 2017-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790844710 | Radamerica II LLC | Clinic/Center | 9105 Franklin Square Dr, Suite 100, Baltimore, MD 21237-3930 | 2006-12-06 |
| 1821065079 | Chesapeake Oncology Hematology Assoc | Clinic/Center | 3001 S Hanover St, Harbor View Cancer Center, Baltimore, MD 21225-1233 | 2006-03-07 |
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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.