NPIMap

Organization Active NPI

Urological Consultants PA Ambulatory Surgery Center ASC

  • Ambulatory Surgical Clinic/Center
  • Rockville, MD
National Provider Identifier
1154476372
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1082 Issued in MD
Legal business name
UROLOGICAL CONSULTANTS PA AMBULATORY SURGERY CENTER ASC
Practice address
401 E Jefferson St Ste 105
Rockville, MD 20850-2617
Phone
(301) 309-8219
Fax
(301) 309-9370
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Dr. Mark Ratner, M.D.
Title
Director
Phone
(301) 309-8219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1082 MD Primary

Addresses

Primary practice location

401 E Jefferson St Ste 105
Rockville, MD 20850-2617

Mailing address

401 E Jefferson St Ste 105
Rockville, MD 20850-2617
Phone (301) 309-8219

Other identifiers 1

IdentifierTypeStateIssuer
142941800MedicaidMD

Other names 1

  • Ambulatory Urosurgical Center Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1154476372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E JEFFERSON ST STE 105",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502617",
            "telephone_number": "301-309-8219",
            "fax_number": "301-309-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E JEFFERSON ST STE 105",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502617",
            "telephone_number": "301-309-8219",
            "fax_number": "301-309-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL CONSULTANTS PA AMBULATORY SURGERY CENTER ASC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "RATNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-309-8219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142941800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulatory Urosurgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 15, 2010; 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.