CERTIFIED AMBULATORY SURGERY CENTER (NPI# 1588665665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588665665 |
| Entity Type | Organization |
| Organization Name | CERTIFIED AMBULATORY SURGERY CENTER |
| Other Organization Name | CASC |
| Practice Address |
9715 Medical Center Dr 535 Rockville MD 20850-3320 |
| Practice Telephone | 3012949400 |
| Practice Fax Number | 3012940149 |
| Mailing Telephone | 3012949400 |
| Mailing Fax Number | 3012940149 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2011-03-03 |
| Authorized Official Name | DR. LANCE G LEITHAUSE (PRESIDENT) |
| Authorized Official Telephone | 3012949400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A1225 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AETNA | 0962486 | 01 |
| MD | AMERIGROUP | 08820 | 01 |
| MD | MAMSI | 251543 | 01 |
| MD | CF BC/BS NCA | ND9 | 01 |
| MD | CF BC/BS MD | 58426801 | 01 |
| MD | 1681001 00 | 05 |
| Other Name | Type Code |
|---|---|
| CASC | Other Name - Individual/Organization |
| Street Address |
9715 MEDICAL CENTER DR 535 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386728 | Aesthetic Facial Surgery Center of Rockville | Clinic/Center | 9715 Medical Center Dr, Ste 414, Rockville, MD 20850-6310 | 2005-06-16 |
| 1194270363 | The Cataract Vision Institute LLC | Clinic/Center | 9715 Medical Center Dr, Suite 502b, Rockville, MD 20850-3320 | 2016-08-17 |
| 1760840508 | Alec M Anders Md Pa | Family Medicine | 9715 Medical Center Dr, 321, Rockville, MD 20850-3320 | 2016-02-08 |
| 1942608922 | Wellbeing Care Pharmacy | Pharmacy | 9715 Medical Center Dr, Rockville, MD 20850-3320 | 2014-12-08 |
| 1023424363 | Gwmfa-medical Faculty Associates, Inc | Clinic/Center | 9715 Medical Center Dr, Suite 230, Rockville, MD 20850-3320 | 2014-07-08 |
| 1710326061 | Fooroogh Ostovari | Family Medicine | 9715 Medical Center Dr, Rockville, MD 20850-3320 | 2013-06-20 |
| 1285978106 | Jennifer Sue Small | Nurse Practitioner | 9715 Medical Center Dr, #501, Rockville, MD 20850-3320 | 2012-11-15 |
| 1952668329 | The Lasik Vision Institute, LLC | Clinic/Center | 9715 Medical Center Dr, Suite 502, Rockville, MD 20850-3320 | 2012-04-23 |
| 1679839195 | Kenneth P Doughty | Physician Assistant | 9715 Medical Center Dr, Suite 528, Rockville, MD 20850-3320 | 2012-04-10 |
| 1144594169 | Roderick Catbagan | Physician Assistant | 9715 Medical Center Dr, 528, Rockville, MD 20850-3320 | 2012-03-08 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972141455 | Fallsgrove Endoscopy Center, LLC | Clinic/Center | 15001 Shady Grove Rd Ste 400 4th Floor, Rockville, MD 20850-6352 | 2019-12-16 |
| 1336635747 | Rockville Surgical Suites, LLC | Clinic/Center | 3200 Tower Oaks Blvd Ste 100, Rockville, MD 20852-4273 | 2018-07-09 |
| 1225480072 | Conception Center, Inc. | Clinic/Center | 3202 Tower Oaks Blvd Ste 370a, Rockville, MD 20852 | 2016-07-05 |
| 1023349909 | Piccard Surgery Center, LLC | Clinic/Center | 1330 Piccard Dr Ste 102, Rockville, MD 20850-4330 | 2010-01-17 |
| 1689850737 | Ambulatory General Surgery Center | Clinic/Center | 9715 Medical Center Dr Ste 435, Rockville, MD 20850-6314 | 2008-01-18 |
| 1154476372 | Urological Consultants Pa Ambulatory Surgery Center Asc | Clinic/Center | 401 E Jefferson St Ste 105, Rockville, MD 20850-2617 | 2007-01-25 |
| 1437232758 | Shady Grove Reproductive Science Center PC | Clinic/Center | 9601 Blackwell Rd Ste 500, Rockville, MD 20850-6478 | 2006-10-23 |
| 1588766075 | Women's Health Ambulatory Health Center, LLC | Clinic/Center | 6323 Executive Blvd, Rockville, MD 20852-3905 | 2006-09-04 |
| 1720048242 | Maryland Surgery Center for Women LLC | Clinic/Center | 11400 Rockville Pike, Suite C25, Rockville, MD 20852-3004 | 2006-03-27 |
| 1710959556 | Surgery Center of Rockville, LLC | Clinic/Center | 2 Choke Cherry Rd, Suite 125, Rockville, MD 20850-4063 | 2006-02-06 |
| 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.