Massachusetts Avenue Surgical Consultants LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

MASSACHUSETTS AVENUE SURGICAL CONSULTANTS LLC

Practice address

6400 Goldsboro Rd Ste 400
Bethesda, MD 20817-5846

Phone

(301) 263-0800

Fax

(301) 263-0820

NPI assigned

Dec 4, 2012

Last updated

Dec 4, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MASSACHUSETTS AVENUE CONSULTING SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Mr. Randall Gross

Title

Executive Director

Phone

(301) 263-0800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1104161082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 GOLDSBORO RD STE 400",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208175846",
            "telephone_number": "301-263-0800",
            "fax_number": "301-263-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 GOLDSBORO RD STE 400",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208175846",
            "telephone_number": "301-263-0800",
            "fax_number": "301-263-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS AVENUE SURGICAL CONSULTANTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASSACHUSETTS AVENUE CONSULTING SERVICES LLC",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-263-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Masiello
• Kevin Francis Maskell Jr., M.D.
• Lauren Keysha Mason, PH.D.
• Massachusetts Avenue Anesthesia Services, PC
• Massachusetts Avenue Surgery Center
• Andrea Marie Massaro-Cavanaugh, CRNP
• Venus Shirley Masselam, PH.D.
• Silvia Massetti, LICSW
• John Pierpont Massey IV, M.D.
• Massoud Talaie, RPT Inc

• Surgical Technologist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Surgical Technologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.