NPIMap

Organization Active NPI

Stanford Surgical Services LLC

  • Surgical Physician Assistant
  • Germantown, MD
National Provider Identifier
1730366394
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C0002208 Issued in MD
Legal business name
STANFORD SURGICAL SERVICES LLC
Practice address
19466 Caravan Dr
Germantown, MD 20874-6220
Phone
(301) 528-0868
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Jason Charles StanfordNPI 1003093667
Title
Owner Physician Assistant
Phone
(301) 528-0868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X C0002208 MD Primary

Addresses

Primary practice location

19466 Caravan Dr
Germantown, MD 20874-6220

Mailing address

19466 Caravan Dr
Germantown, MD 20874-6220
Phone (301) 528-0868

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1730366394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19466 CARAVAN DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208746220",
            "telephone_number": "301-528-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19466 CARAVAN DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208746220",
            "telephone_number": "301-528-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "STANFORD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "301-528-0868"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0002208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.