SHADY GROVE FERTILITY REPRODUCTIVE SCIENCE CENTER


Address: 9601 Blackwell Road, Suite 400, Rockville, MD 20850-6478
Phone: 3013401188

SHADY GROVE FERTILITY REPRODUCTIVE SCIENCE CENTER (NPI# 1891849832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891849832
Entity Type Organization
Organization Name SHADY GROVE FERTILITY REPRODUCTIVE SCIENCE CENTER
Practice Address 9601 Blackwell Road
Suite 400
Rockville
MD 20850-6478
Mailing Address 9600 Blackwell Rd Ste 500
Rockville
MD 20850-3783
Practice Telephone 3013401188
Practice Fax Number 3013406478
Mailing Telephone 3013401188
Mailing Fax Number 3013406478
Enumeration Date 2007-01-23
Last Update Date 2018-02-15
Authorized Official Name SHELLY SHAPIRO (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 3015451407
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VE0102X Obstetrics & Gynecology
Specialization: Reproductive Endocrinology
Allopathic & Osteopathic Physicians

Office Location

Street Address 9601 BLACKWELL ROAD
SUITE 400
City ROCKVILLE
State MD
Zip Code 20850-6478

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NPI Name Taxonomy Address Enumeration
1891286530 Wellness Center At Shady Grove Fertility, LLC Acupuncturist 9601 Blackwell Road, Suite 500, Rockville, MD 20850-6478 2018-05-29

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1982178158 Larissa Woloszyn Behavioral Analyst 15425 Shady Grove, Suite 320, Rockville, MD 20850 2019-01-21
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Taxonomy Information

Taxonomy Code 207VE0102X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Reproductive Endocrinology

Taxonomy Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679741268 Isaac E Sasson Obstetrics & Gynecology 15001 Shady Grove Rd Ste 340, Rockville, MD 20850-6357 2008-02-15
1891817920 Sandy Junjun Li Obstetrics & Gynecology 9601 Blackwell Rd Ste 400, Rockville, MD 20850-3472 2007-04-06
1568412088 Lisa Marie Halvorson Obstetrics & Gynecology 703 New Mark Esplanade, Rockville, MD 20850-2739 2006-05-12
1013325125 Montgomery Women's Medical Center, P.C. Obstetrics & Gynecology 3202 Tower Oaks Blvd, Suite # 370, Rockville, MD 20852-4219 2014-08-01
1861605479 Burt Littman, M.d. Obstetrics & Gynecology 9711 Medical Center Dr, Suite 214, Rockville, MD 20850-3323 2007-05-08
1902018534 Burt Littman Obstetrics & Gynecology 9711 Medical Center Dr, Suite 214, Rockville, MD 20850-3323 2007-05-04
1871650929 Joseph O'brien Doyle Obstetrics & Gynecology 15001 Shady Grove Rd, Rockville, MD 20850-6352 2007-01-01
1164503058 Jeanne E O'brien Obstetrics & Gynecology 15001 Shady Grove Rd, Suite 400, Rockville, MD 20850-6352 2006-10-18
1851491476 Siu Ting Ng-wagner Obstetrics & Gynecology 14955 Shady Grove Rd, Suite 125, Rockville, MD 20850-8700 2006-09-24
1710090394 Oluyemisi Adesanya Famuyiwa Obstetrics & Gynecology 3202 Tower Oaks Blvd, Suite 370, Rockville, MD 20852 2006-08-16
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City ROCKVILLE
Zip Code 20850

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Dataset Information

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.

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