SOMERVILLE SURGICAL, LLC (NPI# 1700431368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700431368 |
| Entity Type | Organization |
| Organization Name | SOMERVILLE SURGICAL, LLC |
| Practice Address |
10700 Charter Dr Ste 200 Columbia MD 21044-3629 |
| Mailing Address |
310 Lyon Ct Pikesville MD 21208-1195 |
| Practice Telephone | 4104467431 |
| Practice Fax Number | 4109102310 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |
| Authorized Official Name | JUSTIN SOMERVILLE (OWNER) |
| Authorized Official Telephone | 4109102310 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
10700 CHARTER DR STE 200 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821328840 | Palmetto Health | Colon & Rectal Surgery | 1333 Taylor St, Suite 5-f, Columbia, SC 29201-2923 | 2010-01-14 |
| 1366681827 | Palmetto Health | Colon & Rectal Surgery | 1730 Saint Julian Place, Columbia, SC 29204-2410 | 2009-02-06 |
| 1972791200 | Columbia Colon and Rectal Surgeons | Colon & Rectal Surgery | 1415 Blanding St, Suite 2, Columbia, SC 29201-2922 | 2007-10-11 |
| 1437106788 | Carolina Colon & Rectal | Colon & Rectal Surgery | 1730 Saint Julian Place, Columbia, SC 29204-2410 | 2006-05-30 |
| 1306897665 | Sidney E Morrison Md Pa | Colon & Rectal Surgery | 1410 Blanding St, Ste 102, Columbia, SC 29201-2967 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720515968 | Leonardo De Castro Duraes | Colon & Rectal Surgery | 600 N Wolfe St Ste 618, Baltimore, MD 21287-0005 | 2017-05-18 |
| 1558637025 | Chady Atallah | Colon & Rectal Surgery | Johns Hopkins, 600 N Wolfe St - Tower 110, Baltimore, MD 21287 | 2012-03-28 |
| 1699096362 | Dong S Hwang,m.d.p.a. | Colon & Rectal Surgery | 900 Wind River Ln Ste 106, Gaithersburg, MD 20878-1924 | 2010-06-17 |
| 1326201328 | Joseph Donovan Dirocco | Colon & Rectal Surgery | 6565 N Charles St Ste 501, Towson, MD 21204 | 2008-07-09 |
| 1811178775 | Rebecca L Cali Md | Colon & Rectal Surgery | 417 East Baltimore St, Suite C, Taneytown, MD 21787 | 2007-11-20 |
| 1831150234 | Colon Rectal Surgical Associates, LLC | Colon & Rectal Surgery | 4801 Dorsey Hall Dr Ste 216, Ellicott City, MD 21042-7749 | 2006-03-28 |
| 1508867797 | James Edward Duncan | Colon & Rectal Surgery | National Naval Medical Center, Dept. of Surgery, 8901 Wisconsin Ave., Bethesda, MD 20889-0001 | 2005-08-10 |
| 1609879295 | Vincent Cifello | Colon & Rectal Surgery | 1404 Crain Hwy S, Ste 111, Glen Burnie, MD 21061-4056 | 2005-05-27 |
| 1588667273 | Howard Keith Berg | Colon & Rectal Surgery | 25 Crossroads Dr, Ste 312, Owings Mills, MD 21117-5437 | 2005-05-27 |
| 1710980305 | Debra A Vachon | Colon & Rectal Surgery | 301 Saint Paul Pl, Ste 400, Baltimore, MD 21202-2102 | 2005-05-27 |
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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.