NPIMap

Organization Active NPI

Ambulatory Plastic Surgery Center Associates, Chartered

  • Ambulatory Surgical Clinic/Center
  • Rockville, MD
National Provider Identifier
1144255415
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1050 Issued in MD
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
Jul 12, 2006
Last updated
May 16, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
AMBULATORY PLASTIC SURGERY CENTER ASSOCIATES, CHARTEREDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Dr. Michael Paul Vincent, MDNPI 1790782407
Title
President
Phone
(240) 912-4708

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
Ambulatory Surgical Clinic/Center 261QA1903X A1050 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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Abulatory Plastic Surgery Center Associates CHTDCCN 21C0001050
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Ambulatory Plastic Surgery Center Associates Chartered

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

15245 Shady Grove Rd
Ste 155
Rockville, MD 20850
Phone (240) 912-4708

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1144255415",
    "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": "YES",
        "parent_organization_legal_business_name": "AMBULATORY PLASTIC SURGERY CENTER ASSOCIATES, CHARTERED",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-05-16",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1050",
            "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 May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.