Organization Active NPI

Germantown Ambulatory Surgical Center LLC

  • Urology Physician
  • Germantown, MD
National Provider Identifier
1073073458
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
GERMANTOWN AMBULATORY SURGICAL CENTER LLC
Practice address
20629 Boland Farm Rd
Germantown, MD 20876-4017
Phone
(301) 428-3040
NPI assigned
Mar 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Asghar FarsaiiNPI 1285795120
Title
Medical Director
Phone
(301) 428-3040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary
Ambulatory Surgical Clinic/Center 261QA1903X

Addresses

Primary practice location

20629 Boland Farm Rd
Germantown, MD 20876-4017

Mailing address

20629 Boland Farm Rd
Germantown, MD 20876-4017
Phone (301) 428-3040

Other identifiers 1

IdentifierTypeStateIssuer
4215346000MedicaidMD

Other names 1

  • SHAHLA FARSAII Former legal business name

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": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1073073458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20629 BOLAND FARM RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764017",
            "telephone_number": "301-428-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20629 BOLAND FARM RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764017",
            "telephone_number": "301-428-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN AMBULATORY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "FARSAII",
        "authorized_official_first_name": "ASGHAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-428-3040"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4215346000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAHLA FARSAII",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.