Rock Creek Health LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ROCK CREEK HEALTH LLC

Practice address

1682 E Gude Dr Ste 304
Rockville, MD 20850-5314

Phone

(301) 969-1616

NPI assigned

Sep 13, 2019

Organization subpart

No

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

Authorized official

Name

Andre Gligor

Title

Resident Agent

Phone

(301) 969-1616

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1194375089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1682 E GUDE DR STE 304",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1682 E GUDE DR STE 304",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505314",
            "telephone_number": "301-969-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK CREEK HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "GLIGOR",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "RESIDENT AGENT",
        "authorized_official_telephone_number": "301-969-1616"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Rockville, MD
• Providers in Rockville, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.