Organization Active NPI

Neurocare Ambulatory Surgery Center, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1467558429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NEUROCARE AMBULATORY SURGERY CENTER, L.L.C.
Practice address
2101 Medical Park Dr
Suite 307
Silver Spring, MD 20902-4053
Phone
(301) 754-0833
Fax
(301) 754-0388
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Damirez T Fossett, M.D.
Title
Director
Phone
(301) 754-0833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2101 Medical Park Dr
Suite 307
Silver Spring, MD 20902-4053

Mailing address

2101 Medical Park Dr
Suite 307
Silver Spring, MD 20902-4053
Phone (301) 754-0833

National Provider Directory

National Provider Directory

Locations

2101 Medical Park Dr
Ste 307
Silver Spring, MD 20902
Phone (301) 754-0833

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": "1598054400000",
    "number": "1467558429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MEDICAL PARK DR",
            "address_2": "SUITE 307",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024053",
            "telephone_number": "301-754-0833",
            "fax_number": "301-754-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MEDICAL PARK DR",
            "address_2": "SUITE 307",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024053",
            "telephone_number": "301-754-0833",
            "fax_number": "301-754-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCARE AMBULATORY SURGERY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOSSETT",
        "authorized_official_first_name": "DAMIREZ",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-754-0833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "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 Aug 22, 2020; 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.