Individual provider Active NPI

Jackie Syme, MD

  • Neurology Physician
  • Gambrills, MD
National Provider Identifier
1760476105
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0044476 Issued in MD
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040921001158 MD Practitioner - Neurology 0941278527 Reassigns benefits to 1 organization
I20141201001304 DC Practitioner - Neurology 0941278527 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neurology Services, P.a. CurrentSince Jan 2, 2024 Accepting new patients
Comprehensive Neurology Services, P.a. CurrentSince Jan 2, 2024 Accepting new patients
Rest Assured Sleep Disorders, Inc PastSince Feb 26, 2004 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.

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

Verify at the official NPI Registry.