Active NPI
Jackie Syme, MD
- Neurology Physician
- Gambrills, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D0044476
- Practice address
- 2401 Brandermill Blvd
Site 301
Gambrills, MD 21054-1690 - Phone
- (410) 451-9064
- Fax
- (410) 451-9065
- NPI assigned
- Aug 31, 2005
- Last updated
- Mar 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | D0044476 | MD | Primary |
Addresses
Primary practice location
2401 Brandermill Blvd
Site 301
Gambrills, MD 21054-1690
Mailing address
PO Box 64023
Baltimore, MD 21264-4023
Phone (410) 280-6577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Maryland School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10301 Georgia Ave
Suite 206
Silver Spring, MD 20902-5020
Phone (301) 363-4370
196 Thomas Johnson Dr
Suite 120
Frederick, MD 21702-4521
Phone (240) 566-3130
6410 Rockledge Dr
Bethesda, MD 20817-1844
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Neurology Services, P.a. | Current | Accepting new patients | |
| Comprehensive Neurology Services, P.a. | Current | Accepting new patients | |
| Rest Assured Sleep Disorders, Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
196 Thomas Johnson Dr
Ste 120
Frederick, MD 21702
Phone (240) 566-3130
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
12800 Middlebrook Rd
Ste 114
Germantown, MD 20874
Phone (240) 702-0182
19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928
10301 Georgia Ave
Ste 206
Silver Spring, MD 20902
Phone (301) 363-4370
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Gambrills, MD
- NPI 1346219359
-
dba NRH Rehabilitation Network at Bethesda
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
-
- Specialist
- Silver Spring, MD
- NPI 1326855164
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Sleep Disorder Diagnostic Clinic/Center
- Landover, MD
- NPI 1205104882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1760476105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64023",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644023",
"telephone_number": "410-280-6577",
"fax_number": "410-280-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 BRANDERMILL BLVD",
"address_2": "SITE 301",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "210541690",
"telephone_number": "410-451-9064",
"fax_number": "410-451-9065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYME",
"first_name": "JACKIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D0044476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gambrills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.