Active NPI
Rockville Medical and Disc Center LLC
- Family Medicine Physician
- Rockville, MD
National Provider Identifier
1619280484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ROCKVILLE MEDICAL AND DISC CENTER LLC
- Practice address
- 5912 Hubbard Dr
Rockville, MD 20852-4823 - Phone
- (301) 770-1818
- NPI assigned
- Jul 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Wander, DC
- Title
- Owner
- Phone
- (301) 770-1818
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
5912 Hubbard Dr
Rockville, MD 20852-4823
Mailing address
5912 Hubbard Dr
Rockville, MD 20852-4823
Phone (301) 770-1818
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300147200000",
"number": "1619280484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5912 HUBBARD DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524823",
"telephone_number": "301-770-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5912 HUBBARD DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524823",
"telephone_number": "301-770-1818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKVILLE MEDICAL AND DISC CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-21",
"last_updated": "2011-03-15",
"status": "A",
"authorized_official_last_name": "WANDER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-770-1818",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
- Rockville Gynecology LLC
- Rockville Inpatient Specialist LLC
- Rockville Internal Medicine Group
- Rockville MD Endoscopy ASC LLC
- Rockville Medical and Disc Center LLC
- Rockville Medical and Disc Center, LLC
- Rockville Medical Care LLC
- Rockville Nursing Home, Inc.
- Rockville Open MRI, Inc.
- Rockville Optometry, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.