Organization Active NPI

Integrated Surgical Associates, PLLC

  • Specialist
  • Silver Spring, MD
National Provider Identifier
1376611665
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0061148 Issued in MD
Legal business name
INTEGRATED SURGICAL ASSOCIATES, PLLC
Practice address
8241 Georgia Ave
Suite #102
Silver Spring, MD 20910-4510
Phone
(301) 589-8737
Fax
(240) 450-5700
NPI assigned
Dec 3, 2006
Last updated
Dec 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Authorized official

Name
Gary C Harrington, M.D.NPI 1659453074
Title
Owner
Phone
(804) 360-1855

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0061148 MD Primary

Addresses

Primary practice location

8241 Georgia Ave
Suite #102
Silver Spring, MD 20910-4510

Mailing address

13437 Crandall CT
Richmond, VA 23233-1029
Phone (804) 360-1855

Other identifiers 16

IdentifierTypeStateIssuer
001014600OtherMDMARYLAND MEDICAL ASSISTANCE (MAO)
105656OtherMDATHTHEM BC BS
238514OtherVABC BS
3640878OtherMDAETNA
826AOtherMDCAREFIRST CAPITAL CARE
21849OtherMDCIGNA
5396573OtherMDAETNA PPO
105657OtherDCANTHEM BC BS
458642OtherMDMAMSI
001014600MedicaidMD
036747600MedicaidDC
238513OtherMDANTHEM BC BS
718333OtherMDNCPPO UNICARE
1014600MedicaidMD
5798960OtherCIGNA
J740-001OtherMDCAREFIRST BC BS

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1376611665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13437 CRANDALL CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331029",
            "telephone_number": "804-360-1855",
            "fax_number": "804-360-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8241 GEORGIA AVE",
            "address_2": "SUITE #102",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104510",
            "telephone_number": "301-589-8737",
            "fax_number": "240-450-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-03",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-360-1855",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0061148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND MEDICAL ASSISTANCE (MAO)",
            "identifier": "001014600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHTHEM BC BS",
            "identifier": "105656",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "238514",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3640878",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST CAPITAL CARE",
            "identifier": "826A",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "21849",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5396573",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "105657",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "458642",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036747600",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "238513",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO UNICARE",
            "identifier": "718333",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5798960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "J740-001",
            "state": "MD"
        }
    ],
    "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 Dec 5, 2008; 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.