MASSACHUSETTS AVENUE SURGERY CENTER (NPI# 1568513950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568513950 |
| Entity Type | Organization |
| Organization Name | MASSACHUSETTS AVENUE SURGERY CENTER |
| Practice Address |
6400 Goldsboro Rd Suite 400 Bethesda MD 20817-5826 |
| Practice Telephone | 3012630800 |
| Practice Fax Number | 3012630820 |
| Mailing Telephone | 3012630800 |
| Mailing Fax Number | 3012630820 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | RANDY GROSS (ADMINISTRATOR) |
| Authorized Official Telephone | 3012630800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
6400 GOLDSBORO RD SUITE 400 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-5826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502951 | William Arthur Davis | Internal Medicine | 6400 Goldsboro Rd, Suite#330, Bethesda, MD 20817-5826 | 2005-10-13 |
| 1467821447 | Theodore Willsey | Physical Therapist | 6400 Goldsboro Rd, Suite 340, Bethesda, MD 20817-5826 | 2015-09-18 |
| 1538545397 | Melissa Loughney M.d., LLC | Internal Medicine | 6400 Goldsboro Rd, Ste 330, Bethesda, MD 20817-5826 | 2015-08-04 |
| 1194116145 | Lorraine Anthony | Nurse Anesthetist, Certified Registered | 6400 Goldsboro Rd, Suite 400, Bethesda, MD 20817-5826 | 2015-02-12 |
| 1831518000 | Centers for Advanced Orthopaedics, LLC | Anesthesiology | 6400 Goldsboro Rd, #400, Bethesda, MD 20817-5826 | 2014-04-15 |
| 1003256942 | Jonathan Michael Hjort | Physician Assistant | 6400 Goldsboro Rd, Suite 400, Bethesda, MD 20817-5826 | 2013-06-25 |
| 1316244908 | Manuel Kim | Physical Therapist | 6400 Goldsboro Rd, Suite 340, Bethesda, MD 20817-5826 | 2011-02-17 |
| 1508009200 | Shruthi Bellapu | Internal Medicine | 6400 Goldsboro Rd, Suite#330, Bethesda, MD 20817-5826 | 2009-04-09 |
| 1033387352 | Preethi Sural | Internal Medicine | 6400 Goldsboro Rd, Suite 330, Bethesda, MD 20817-5826 | 2008-02-20 |
| 1376513218 | Teresita Elster | Nurse Anesthetist, Certified Registered | 6400 Goldsboro Rd, Bethesda, MD 20817-5826 | 2006-01-24 |
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| 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 |
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| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336255827 | Rockville Eye Surgery Center, LLC | Clinic/Center | 4818 Del Ray Ave, First Floor, Bethesda, MD 20814-3014 | 2006-08-21 |
| 1326075250 | Suburban Outpatient Surgery Center, LLC | Clinic/Center | 6420 Rockledge Dr Ste 2100, Bethesda, MD 20817-7841 | 2006-06-27 |
| 1619967726 | John P Lydon Dpm | Clinic/Center | 5620 Shields Dr, Bethesda, MD 20817-3532 | 2005-10-28 |
| 1295385482 | Johns Hopkins Surgery Centers Series | Clinic/Center | 6420 Rockledge Dr Ste 2100, Bethesda, MD 20817-7841 | 2019-09-19 |
| 1659748184 | Surgcenter of The Potomac, LLC | Clinic/Center | 6500 Rock Spring Dr, 100, Bethesda, MD 20817-1105 | 2015-09-01 |
| 1659772648 | Surgical Specialty Center of Mid Atlantic, LLC | Clinic/Center | 6430 Rockledge Dr, Suite # 110, Bethesda, MD 20817-1805 | 2014-09-09 |
| 1972869881 | Advanced Surgery Center of Bethesda, LLC | Clinic/Center | 6430 Rockledge Dr, # 160, Bethesda, MD 20817-1805 | 2012-04-04 |
| 1245529189 | Capitol Surgical Center LLC | Clinic/Center | 6410 Rockledge Dr, Suite 110, Bethesda, MD 20817-1809 | 2011-03-31 |
| 1134431323 | Bethesda Chevy Chase Surgery Center, LLC | Clinic/Center | 6931 Arlington Rd, Suite E, Bethesda, MD 20814-5231 | 2010-07-05 |
| 1881825495 | John P Lydon Dpm | Clinic/Center | 5620 Shields Dr, Bethesda, MD 20817-3532 | 2009-07-30 |
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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.