Active NPI
Metro Men'S Health Maryland, LLC
- Clinic/Center
- Rockville, MD
National Provider Identifier
1235609330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- METRO MEN'S HEALTH MARYLAND, LLC
- Practice address
- 11300 Rockville Pike Ste 406
Rockville, MD 20852-3083 - Phone
- (301) 710-6510
- NPI assigned
- Nov 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sammie Shorter Jr.
- Title
- Patient Care Manager
- Phone
- (301) 710-6510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
11300 Rockville Pike Ste 406
Rockville, MD 20852-3083
Mailing address
11300 Rockville Pike Ste 406
Rockville, MD 20852-3083
Phone (301) 710-6510
National Provider Directory
National Provider DirectoryLocations
11300 Rockville Pike
Ste 406
Rockville, MD 20852
Phone (301) 710-6510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543536000000",
"number": "1235609330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 ROCKVILLE PIKE STE 406",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523083",
"telephone_number": "301-710-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 ROCKVILLE PIKE STE 406",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523083",
"telephone_number": "301-710-6510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO MEN'S HEALTH MARYLAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-30",
"last_updated": "2018-11-30",
"status": "A",
"authorized_official_last_name": "SHORTER",
"authorized_official_first_name": "SAMMIE",
"authorized_official_title_or_position": "PATIENT CARE MANAGER",
"authorized_official_telephone_number": "301-710-6510",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Vincenzo Metsopoulos
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.