Montgomery Surgical Associates, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

H0063192 Issued in MD

Legal business name

MONTGOMERY SURGICAL ASSOCIATES, LLC

Practice address

18111 Prince Philip Dr
T-12
Olney, MD 20832-1513

Phone

(301) 774-7874

NPI assigned

May 1, 2006

Last updated

Aug 17, 2018By 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

Dr. Shawn M Tweedt, D.O.NPI 1497746275

Title

Physician

Phone

(301) 774-7874

Specialties & licenses 1

Addresses

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.

• Shawn Michael Tweedt, D.O.

  • Surgery Physician
  • Olney, MD
  • NPI 1497746275
  NPD (past) Authorized official

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1609833789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 PRINCE PHILIP DR",
            "address_2": "T-12",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321513",
            "telephone_number": "301-774-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 PRINCE PHILIP DR",
            "address_2": "T-12",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321513",
            "telephone_number": "301-774-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "TWEEDT",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-774-7874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "H0063192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery General Hospital Inc
• Montgomery General Hospital Inc (The Diabetes and Nutrition Center)
• Montgomery General Hospital, Inc.
• Montgomery Internal Medicine Assoc., P.a.
• Montgomery Psychological Services, LLC
• Kristin Simone Moore
• Kathryn Morris, PT
• Taysue Ethel Morris
• Bennett T Morrison, M.D.
• Mosaddegh Physical Therapy Inc (Physical Therapy & Sports Medicine Center)

• Surgery Physician in Olney, MD
• Providers in Olney, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.