Organization Active NPI

Maryland Surgical Care PC

Doing business as Capitol Vein & Laser Centers

  • Vascular Surgery Physician
  • Frederick, MD
National Provider Identifier
1336245075
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
MARYLAND SURGICAL CARE PC
Doing business as
Capitol Vein & Laser Centers
Practice address
77 Thomas Johnson Dr Ste E
Frederick, MD 21702-4893
Phone
(301) 695-8346
Fax
(301) 668-7819
NPI assigned
Sep 16, 2006
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Dr. Paul M McNeill, MDNPI 1437111960
Title
President
Phone
(301) 695-8346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X Primary

Addresses

Primary practice location

77 Thomas Johnson Dr Ste E
Frederick, MD 21702-4893

Mailing address

77 Thomas Johnson Dr Ste E
Frederick, MD 21702-4893
Phone (301) 695-8346

Other practice location 1

6410 Rockledge Dr Ste 500
Bethesda, MD 20817-1843
Phone (855) 695-8346

Other practice location 2

1165 Imperial Dr Ste 200
Hagerstown, MD 21740-6583
Phone (266) 695-8346

Other practice location 3

1982 Scotland Ave Ste A
Chambersburg, PA 17201-1450
Phone (855) 695-8346

Other practice location 4

710 Somerset Blvd Ste 103
Charles Town, WV 25414-4998
Phone (855) 695-8346

Other practice location 5

172 Linden Dr Ste 107
Winchester, VA 22601-2892
Phone (855) 695-8346

Other names 1

  • Capitol Vein & Laser Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV, DC, VA, PA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20040609000359 MD Part B Supplier - Clinic/Group Practice 2163404740 Receives reassigned benefits from 8 practitioners
Practice locations: Frederick, MD; Hagerstown, MD; Bethesda, MD
O20080707000372 WV Part B Supplier - Clinic/Group Practice 2163404740 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Charles Town, WV
O20090603000542 DC Part B Supplier - Clinic/Group Practice 2163404740 Receives reassigned benefits from 5 practitioners
Practice locations: Rockville, MD; Bethesda, MD
O20090727000024 VA Part B Supplier - Clinic/Group Practice 2163404740 Receives reassigned benefits from 2 practitioners
Practice locations: Ashburn, VA; Winchester, VA
O20180802001132 PA Part B Supplier - Clinic/Group Practice 2163404740 Receives reassigned benefits from 2 practitioners
Practice locations: Chambersburg, PA

National Provider Directory

National Provider Directory

Locations

1165 Imperial Dr
Ste 200
Hagerstown, MD 21740
Phone (301) 665-9098

1165 Imperial Dr
Ste 202
Hagerstown, MD 21740
Phone (301) 251-8611

1982 Scotland Ave
#A
Chambersburg, PA 17201
Phone (855) 695-8346

45155 Research Pl
Ste 110
Ashburn, VA 20147
Phone (703) 771-8170

201 N George St
Ste 103
Charles Town, WV 25414
Phone (304) 724-4070

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1336245075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE E",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-695-8346",
            "fax_number": "301-668-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE E",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-695-8346",
            "fax_number": "301-668-7819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Rockledge Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171843",
            "country_code": "US",
            "telephone_number": "855-695-8346",
            "fax_number": "301-624-5837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1165 Imperial Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217406583",
            "country_code": "US",
            "telephone_number": "266-695-8346",
            "fax_number": "301-624-5837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1982 Scotland Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011450",
            "country_code": "US",
            "telephone_number": "855-695-8346",
            "fax_number": "301-624-5837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Somerset Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Charles Town",
            "state": "WV",
            "postal_code": "254144998",
            "country_code": "US",
            "telephone_number": "855-695-8346",
            "fax_number": "301-624-5837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "172 Linden Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012892",
            "country_code": "US",
            "telephone_number": "855-695-8346",
            "fax_number": "301-624-5837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYLAND SURGICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-695-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Vein & Laser Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.