Active NPI
Ambulatory Plastic Surgery Center Associates, Chartered
- Plastic Surgery Physician
- Rockville, MD
National Provider Identifier
1093908923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- AMBULATORY PLASTIC SURGERY CENTER ASSOCIATES, CHARTERED
- Practice address
- 15245 Shady Grove Rd
Suite 155
Rockville, MD 20850-3222 - Phone
- (240) 912-4708
- Fax
- (240) 912-6992
- NPI assigned
- Aug 23, 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
- Michael Paul Vincent, M.D.
- Title
- President
- Phone
- (240) 912-4708
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD | Primary |
Addresses
Primary practice location
15245 Shady Grove Rd
Suite 155
Rockville, MD 20850-3222
Mailing address
15245 Shady Grove Rd
Suite 155
Rockville, MD 20850-3222
Phone (240) 912-4708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G01044 | Other | MEDICARE GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
15245 Shady Grove Rd
Ste 155
Rockville, MD 20850
Phone (240) 912-4708
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Ambulatory Surgical Clinic/Center
- Rockville, MD
- NPI 1144255415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553472000000",
"number": "1093908923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15245 SHADY GROVE RD",
"address_2": "SUITE 155",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503222",
"telephone_number": "240-912-4708",
"fax_number": "240-912-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15245 SHADY GROVE RD",
"address_2": "SUITE 155",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503222",
"telephone_number": "240-912-4708",
"fax_number": "240-912-6992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBULATORY PLASTIC SURGERY CENTER ASSOCIATES, CHARTERED",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-23",
"last_updated": "2019-03-25",
"status": "A",
"authorized_official_last_name": "VINCENT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "240-912-4708",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "G01044",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.