Surgery Center of Potomac LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1404 Issued in MD

Legal business name

SURGERY CENTER OF POTOMAC LLC

Practice address

3203 Tower Oaks Blvd
#100
Rockville, MD 20852

Phone

(240) 747-5631

Fax

(301) 754-2503

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Adam Gaston Tattelbaum, MDNPI 1578510202

Title

Owner

Phone

(240) 747-5631

Specialties & licenses 1

Addresses

Listed as

Surgery Center of PotomacCCN 21C0001404

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam G Tattelbaum, M.D.

  • Plastic Surgery Physician
  • Rockville, MD
  • NPI 1578510202
  NPD (past) Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710079470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 TOWER OAKS BLVD",
            "address_2": "#100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "240-747-5631",
            "fax_number": "301-754-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 TOWER OAKS BLVD",
            "address_2": "#100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "240-747-5631",
            "fax_number": "301-754-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF POTOMAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TATTELBAUM",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "GASTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-747-5631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narita Surana, M.D.
• Sure Dental Care LLC
• Sureprescribe LLC (Sureprescribe.Com)
• Suresh C Gupta MD PA
• Brianna Surgeon
• Surgery Center of Rockville, LLC
• Neha Agarwal Suri, M.D.
• Nancy J. Surig, MD
• Ayralaina Surles
• Susan Partovi D.D.S P.C

• Ambulatory Surgical Clinic/Center in Rockville, MD
• Providers in Rockville, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.