NPIMap

Organization Active NPI

Adventist Physician Services, Inc.

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1194589929
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ADVENTIST PHYSICIAN SERVICES, INC.
Practice address
11886 Healing Way Ste 401
Silver Spring, MD 20904-7917
Phone
(240) 637-7100
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Kristen Pulio
Title
SVP/Cfo
Phone
(301) 315-3826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

11886 Healing Way Ste 401
Silver Spring, MD 20904-7917

Mailing address

820 W Diamond Ave Ste 500
Gaithersburg, MD 20878-1469
Phone (301) 315-3826

Other practice location 1

6 Montgomery Village Ave
Montgomery Village, MD 20879-3546
Phone (301) 948-0098

National Provider Directory

National Provider Directory
Tax ID family
Adventist Physician Services PRBH53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1194589929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DIAMOND AVE STE 500",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781469",
            "telephone_number": "301-315-3826",
            "fax_number": "240-516-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11886 HEALING WAY STE 401",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047917",
            "telephone_number": "240-637-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Montgomery Village Ave",
            "address_purpose": "LOCATION",
            "city": "Montgomery Village",
            "state": "MD",
            "postal_code": "208793546",
            "country_code": "US",
            "telephone_number": "301-948-0098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVENTIST PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "PULIO",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "SVP/CFO",
        "authorized_official_telephone_number": "301-315-3826"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.