NPIMap

Organization Active NPI

CTG LLC

  • Medical Physician Assistant
  • Rockville, MD
National Provider Identifier
1376914481
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0004642 Issued in MD
Legal business name
CTG LLC
Practice address
418 Winding Rose Dr
Rockville, MD 20850-2863
Phone
(443) 858-9401
NPI assigned
Oct 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Ms. Christine Tarrant Gardella, PA-CNPI 1538437223
Title
Owner
Phone
(443) 858-9401

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
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X C0004642 MD Primary

Addresses

Primary practice location

418 Winding Rose Dr
Rockville, MD 20850-2863

Mailing address

418 Winding Rose Dr
Rockville, MD 20850-2863
Phone (443) 858-9401

Other names 2

  • Caring House Calls Doing business as
  • Medicine at Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151208002232 DC Part B Supplier - Clinic/Group Practice 9830499227 Receives reassigned benefits from 11 practitioners
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1376914481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 WINDING ROSE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502863",
            "telephone_number": "443-858-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 WINDING ROSE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502863",
            "telephone_number": "443-858-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2022-05-16",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "GARDELLA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "TARRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-858-9401",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring House Calls",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medicine at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.