McLean Ambulatory Surgery, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MCLEAN AMBULATORY SURGERY, LLC

Practice address

7601 Lewinsville Rd
Suite 440
MC Lean, VA 22102-2814

Phone

(703) 663-1440

Fax

(703) 752-1105

NPI assigned

Sep 30, 2015

Last updated

Mar 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darasinh Phoummithone Mayard, AUTHORIZED OFFICIAL

Title

A/R & Operations Manager

Phone

(703) 395-6410

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Listed as

McLean Ambulatory Surgery LLCCCN 49C0001065

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Inova Health Care Services

  dba Inova Mount Vernon Hospital

  • Psychiatric Hospital Unit
  • Alexandria, VA
  • NPI 1104957083

  Member Of

  NPD member

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1528438884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 LEWINSVILLE RD",
            "address_2": "SUITE 440",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221022834",
            "telephone_number": "703-663-1440",
            "fax_number": "703-752-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 LEWINSVILLE RD",
            "address_2": "SUITE 440",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221022814",
            "telephone_number": "703-663-1440",
            "fax_number": "703-752-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN AMBULATORY SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "MAYARD",
        "authorized_official_first_name": "DARASINH",
        "authorized_official_middle_name": "PHOUMMITHONE",
        "authorized_official_title_or_position": "A/R & OPERATIONS MANAGER",
        "authorized_official_telephone_number": "703-395-6410",
        "authorized_official_credential": "AUTHORIZED OFFICIAL"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail McGeary, LCSW
• David Brown McGibbons III, DDS
• Scott David McKinney, D.D.S.
• Holly K McLane, BEHAVIOR TECHNICIAN
• Grace Rebecca McLaurin
• McLean Behavioral Health
• McLean Chiropractic, Rehab and Massage Center LLC
• McLean Counseling Center
• McLean Dental Loft PLLC
• McLean Dermatology and Skincare Center

• Ambulatory Surgical Clinic/Center in McLean, VA
• Providers in McLean, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.