Active NPI
Charles County Surgical Associates, LLC
- MOHS-Micrographic Surgery Physician
- White Plains, MD
National Provider Identifier
1003002163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- CHARLES COUNTY SURGICAL ASSOCIATES, LLC
- Practice address
- 4225 Altamont PL Unit 3
White Plains, MD 20695-3063 - Phone
- (301) 374-9591
- NPI assigned
- Sep 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert S Berger
- Title
- MD
- Phone
- (301) 374-9591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | Primary |
Addresses
Primary practice location
4225 Altamont PL Unit 3
White Plains, MD 20695-3063
Mailing address
4225 Altamont PL Unit 3
White Plains, MD 20695-3063
National Provider Directory
National Provider DirectoryLocations
4225 Altamont Pl
White Plains, MD 20695
Phone (301) 374-9591
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- White Plains, MD
- NPI 1326297920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190332800000",
"number": "1003002163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 ALTAMONT PL UNIT 3",
"city": "WHITE PLAINS",
"state": "MD",
"postal_code": "206953063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 ALTAMONT PL UNIT 3",
"city": "WHITE PLAINS",
"state": "MD",
"postal_code": "206953063",
"telephone_number": "301-374-9591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES COUNTY SURGICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-21",
"last_updated": "2007-09-21",
"status": "A",
"authorized_official_last_name": "BERGER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "301-374-9591"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, MD
- Charles County Dermatology Associates LLC
- Charles County Health Department
- Charles County Health Department
- Charles County Health Department
- Charles County Surgical Arts LLC
- Charles County Surgical Center, L.L.C.
- Rebecca Daphnee Cheraquit
- Breanna Niambi Cherry
- Chiaramonte Huisman Zorn Urology LLC
- Brenda Chin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.