Suburban Specialty Care Physicians, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SUBURBAN SPECIALTY CARE PHYSICIANS, PC

Practice address

8600 Old Georgetown Rd
Bethesda, MD 20814-1422

Phone

(301) 896-7596

Fax

(301) 530-7989

NPI assigned

Sep 13, 2006

Last updated

Feb 8, 2008By 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. Matthew G Poffenroth

Title

President

Phone

(301) 581-2200

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1609971175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79049",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790049",
            "telephone_number": "412-826-1065",
            "fax_number": "412-826-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 OLD GEORGETOWN RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141422",
            "telephone_number": "301-896-7596",
            "fax_number": "301-530-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN SPECIALTY CARE PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "POFFENROTH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-581-2200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suburban Hospital, Inc. (Suburban Hospital Outreach Services Microbiology Laboratory)
• Suburban Hospital, Inc. (Suburban Hospital Radiation Oncology Infusion Center)
• Suburban Hospital, Inc. (Community Home Care Management)
• Suburban Outpatient Surgery Center, LLC
• Suburban Physician Assistant Associates, LLC.
• Suburban/NRH Medical Rehabilitation Inc (NRH Rehabilitation Network at Bethesda)
• Suburban/NRH Medical Rehabilitation, Inc. (NRH Rehabilitation Network at Bethesda)
• Suhas Suddala
• Sue D Kanter MD LLC
• Ashley Suero, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.