NPIMap

Organization Active NPI

Advanced Weight Loss Surgery

  • Surgery Physician
  • Rockville, MD
National Provider Identifier
1124263876
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0043330 Issued in MD
Legal business name
ADVANCED WEIGHT LOSS SURGERY
Practice address
9707 Medical Center Dr
Suite 200
Rockville, MD 20850-3348
Phone
(301) 251-4128
Fax
(301) 738-1593
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Dr. Barry S Greene, MDNPI 1487762100
Title
President
Phone
(301) 251-4128

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X D0043330 MD Primary

Addresses

Primary practice location

9707 Medical Center Dr
Suite 200
Rockville, MD 20850-3348

Mailing address

9707 Medical Center Dr
Suite 200
Rockville, MD 20850-3348
Phone (301) 251-4128

Other names 1

  • Barry Greene, MD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090211000014 DC Part B Supplier - Clinic/Group Practice 2163587940 Receives reassigned benefits from 2 practitioners
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

9707 Medical Center Dr
Ste 200
Rockville, MD 20850
Phone (301) 251-4128

Practitioners & affiliated clinicians

Practitioners 4

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": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1124263876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR",
            "address_2": "SUITE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503348",
            "telephone_number": "301-251-4128",
            "fax_number": "301-738-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR",
            "address_2": "SUITE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503348",
            "telephone_number": "301-251-4128",
            "fax_number": "301-738-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WEIGHT LOSS SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-251-4128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0043330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barry Greene, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.