NPIMap

Organization Active NPI

Potomacplasticandreconstructivesurgerycenterjanettealexandermdpa

  • Plastic and Reconstructive Surgery Physician
  • Rockville, MD
National Provider Identifier
1104190313
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
D34637 Issued in MD
Legal business name
POTOMACPLASTICANDRECONSTRUCTIVESURGERYCENTERJANETTEALEXANDERMDPA
Practice address
15005 Shady Grove Rd
#220
Rockville, MD 20850-6340
Phone
(301) 251-1184
Fax
(301) 686-8597
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Janette Alexander, M.D.NPI 1972597888
Title
Owner
Phone
(301) 251-1184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X D34637 MD Primary

Addresses

Primary practice location

15005 Shady Grove Rd
#220
Rockville, MD 20850-6340

Mailing address

15005 Shady Grove Rd
#220
Rockville, MD 20850-6340
Phone (301) 251-1184

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1104190313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD",
            "address_2": "#220",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506340",
            "telephone_number": "301-251-1184",
            "fax_number": "301-686-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD",
            "address_2": "#220",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506340",
            "telephone_number": "301-251-1184",
            "fax_number": "301-686-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMACPLASTICANDRECONSTRUCTIVESURGERYCENTERJANETTEALEXANDERMDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-251-1184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D34637",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 6, 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.