Active NPI
River Road Surgery Center
- Ambulatory Surgical Clinic/Center
- Bethesda, MD
National Provider Identifier
1023169752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- A1337
- Legal business name
- RIVER ROAD SURGERY CENTER
- Practice address
- 5110 Ridgefield Road
Suite 106
Bethesda, MD 20816 - Phone
- (301) 652-7130
- Fax
- (301) 652-3170
- NPI assigned
- Jan 16, 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
- Mrs. Beverly Lighty
- Title
- Administrator
- Phone
- (301) 652-7130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | A1337 | MD | Primary |
Addresses
Primary practice location
5110 Ridgefield Road
Suite 106
Bethesda, MD 20816
Mailing address
5110 Ridgefield Road
Suite 106
Bethesda, MD 20816
Phone (301) 652-7130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300902500 | Medicaid | MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Chevy Chase, MD
- NPI 1346289394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219190400000",
"number": "1023169752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5110 RIDGEFIELD ROAD",
"address_2": "SUITE 106",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20816",
"telephone_number": "301-652-7130",
"fax_number": "301-652-3170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5110 RIDGEFIELD ROAD",
"address_2": "SUITE 106",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20816",
"telephone_number": "301-652-7130",
"fax_number": "301-652-3170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER ROAD SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2008-08-20",
"status": "A",
"authorized_official_last_name": "LIGHTY",
"authorized_official_first_name": "BEVERLY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "301-652-7130",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MD",
"license": "A1337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300902500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.