Private Surgical Suite, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1291 Issued in MD

Legal business name

PRIVATE SURGICAL SUITE, LLC

Practice address

5530 Wisconsin Ave
Suite 1455
Chevy Chase, MD 20815-4404

Phone

(301) 656-8008

Fax

(301) 656-6701

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas G Zorc, MDNPI 1184755407

Title

Member

Phone

(301) 656-8008

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Listed as

Private Surgical SuiteCCN 21C0001291

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Thomas G Zorc, MD

  • Surgery Physician
  • Chevy Chase, MD
  • NPI 1184755407
  NPD Authorized official
• Elizabeth J Donovan, PA-C

  • Physician Assistant
  • Chevy Chase, MD
  • NPI 1326179656
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1073644399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71144",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208131144",
            "telephone_number": "301-656-8008",
            "fax_number": "301-656-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "SUITE 1455",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-656-8008",
            "fax_number": "301-656-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE SURGICAL SUITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "ZORC",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-656-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00084595",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BC NON PAR PROVIDER #",
            "identifier": "ZX09PR",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prall Anesthesia LLC
• Hugh Lee Preas II, MD
• Travis L Prescott, DC, FNP-C, CRNP
• Gordon Wesley Price, MD
• Michelle Veneskey Price, DPT
• Privia Medical Group, LLC
• Privia Medical Group, LLC
• Privia Medical Group, LLC
• Privia Medical Group, LLC
• Privia Medical Group, LLC

• Ambulatory Surgical Clinic/Center in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.