Organization Active NPI

River Road Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Bethesda, MD
National Provider Identifier
1023169752
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1337 Issued in MD
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

Updated by the provider on Aug 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300902500MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.