WASHINGTON VASCULAR SPECIALISTS OF FREDERICK (NPI# 1801332804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801332804 |
| Entity Type | Organization |
| Organization Name | WASHINGTON VASCULAR SPECIALISTS OF FREDERICK |
| Practice Address |
15245 Shady Grove Rd Suite 325 Rockville MD 20850-3222 |
| Mailing Address |
75 Thomas Johnson Dr Suite 1 Frederick MD 21702-4895 |
| Practice Telephone | 3018912500 |
| Practice Fax Number | 3014481679 |
| Mailing Telephone | 3018912500 |
| Mailing Fax Number | 3014481679 |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |
| Authorized Official Name | MUBASHAR CHOUDRY (OWNER) |
| Authorized Official Telephone | 3018912500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D42222 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
D42222 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
15245 SHADY GROVE RD SUITE 325 |
| 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 |
| 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 |
| 1255786398 | Srishti Rau | Psychologist | 15245 Shady Grove Rd, Ste 350, Rockville, MD 20850 | 2016-04-26 |
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003324989 | Cardiac Cin of Dc LLC | Internal Medicine | 1 Research Ct Ste 450c, Rockville, MD 20850-3221 | 2018-01-13 |
| 1063411106 | Joann Urquhart | Internal Medicine | 9420 Key West Ave Ste 340, Rockville, MD 20850-6257 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662347 | Christopher Glenn Bruce | Internal Medicine | Building 10, Rm 2c713, 10 Center Drive, Bethesda, MD 20814-2081 | 2020-06-05 |
| 1447680137 | Cardiovascular Associates of Maryland LLC | Internal Medicine | 2021b Emmorton Rd Ste 110, Bel Air, MD 21015-8965 | 2013-11-18 |
| 1871729244 | Jonathan Chrispin | Internal Medicine | 600 N Wolfe St Ofc 1638, Baltimore, MD 21287-0005 | 2009-05-29 |
| 1477542306 | Mehrdad Mostaan | Internal Medicine | 6130 Oxon Hill Rd, Suite 301, Oxon Hill, MD 20745-3168 | 2005-10-13 |
| 1497234959 | Arshad Ameer Khan | Internal Medicine | The Johns Hopkins Hospital, 1800 Orleans Street, Baltimore, MD 21287 | 2018-08-07 |
| 1972975894 | Frederick Cardiology Center PC | Internal Medicine | 801 Toll House Ave Ste B2, Frederick, MD 21701-6110 | 2015-10-30 |
| 1760864870 | Lifebridge Community Physicians, Inc | Internal Medicine | 8114 Sandpiper Cir, Suite 206, Nottingham, MD 21236-4934 | 2015-06-25 |
| 1336561091 | Chesapeake Cardiovascular Associates LLC | Internal Medicine | 3333 N Calvert St, Jpb Suite 500, Baltimore, MD 21218-2867 | 2014-01-15 |
| 1407282866 | Vascular Centers of America LLC | Internal Medicine | 7610 Carroll Ave, Suite 100, Takoma Park, MD 20912-6384 | 2013-09-17 |
| 1134498553 | Spyridon Gkizas | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2011-12-14 |
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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.