Sleep Disorders CTRS of the Mid Atlantic LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0810002163 Issued in VA

Legal business name

SLEEP DISORDERS CTRS OF THE MID ATLANTIC LLC

Practice address

2235 Cedar LN
Suite 202
Vienna, VA 22182-5247

Phone

(703) 752-7881

Fax

(703) 752-7880

NPI assigned

Oct 2, 2006

Last updated

Jul 16, 2009By 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

James Perlstrom, PHDNPI 1760575765

Title

President

Phone

(703) 752-7881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Sleep Disorders CTRS of the Mid Atlantic LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Fairfax, VA
  • NPI 1770753469

  2264413137

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sleep Disorders CTRS of the Mid Atlantic LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Fairfax, VA
  • NPI 1770753469

  O20040526001149

  Same enrollment
• Sleep Disorders CTRS of the Mid Atlantic LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Rockville, MD
  • NPI 1730359423

  O20040526001149

  Same enrollment

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

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Adam Breaux Hernandez, MD

  • Pulmonary Disease Physician
  • Falls Church, VA
  • NPI 1356467351

  MD

  Medicare reassignment Care Compare group NPD
• Brian J Bohner, M.D.

  • Pulmonary Disease Physician
  • Towson, MD
  • NPI 1598855124
  Medicare reassignment NPD
• Jacques R Conaway, M.D.

  • Pulmonary Disease Physician
  • Berlin, MD
  • NPI 1437245362
  Medicare reassignment NPD
• Mark Steven Gosnell, M.D.

  • Pulmonary Disease Physician
  • Elkridge, MD
  • NPI 1003949348
  Medicare reassignment NPD
• Cynthia Marie Soriano, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Towson, MD
  • NPI 1891828125
  Medicare reassignment NPD
• James R Perlstrom, PHD

  • Psychologist
  • Vienna, VA
  • NPI 1760575765
  Authorized official Same address or phone

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1689767683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN",
            "address_2": "SUITE 202",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825202",
            "telephone_number": "703-752-7881",
            "fax_number": "703-752-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN",
            "address_2": "SUITE 202",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825247",
            "telephone_number": "703-752-7881",
            "fax_number": "703-752-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DISORDERS CTRS OF THE MID ATLANTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "PERLSTROM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-752-7881",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0810002163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Conrad Sitzler, LPC
• Bethany Siu, PA-C
• Skin and Laser Surgery Center
• Lisa Framm Sklar, M.D.
• Bryan Slayman, RD
• Inga Kazlauskaite Sloat, D.M.D.
• Caroline Slocum
• Mwanahamisi Smalling
• Abagail Smith
• Alathea Joy Smith, PA-C

• Specialist in Vienna, VA
• Providers in Vienna, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.