Montgomery Infectious Disease Associates,PA
Organization Active NPI Infectious Disease Physician · Silver Spring, MD
NPI 1790741759 · NPPES record last updated Jun 19, 2009
Key facts
- NPI
- 1790741759
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- Legal business name
- MONTGOMERY INFECTIOUS DISEASE ASSOCIATES,PA
- Practice address
- 8630 Fenton St
Suite 700
Silver Spring, MD 20910-3806 - Phone
- (301) 588-2525
- Fax
- (301) 588-3447
- NPI assigned
- Apr 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Phuong D Trinh, MD
- Title
- President
- Phone
- (301) 588-3322
Practitioners 3
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0882399 | Montgomery Infectious Disease Assoc PA | Certificate of waiver | Oct 19, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| Infectious Disease Physician |
207RI0200X | Yes |
Addresses
Primary practice location
8630 Fenton St
Suite 700
Silver Spring, MD 20910-3806
Mailing address
8630 Fenton Street
Suite 700
Silver Spring, MD 20910
Phone (301) 588-2525
NPI Registry JSON
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245369600000",
"number": "1790741759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8630 FENTON STREET",
"address_2": "SUITE 700",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20910",
"telephone_number": "301-588-2525",
"fax_number": "301-588-3447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8630 FENTON ST",
"address_2": "SUITE 700",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103806",
"telephone_number": "301-588-2525",
"fax_number": "301-588-3447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTGOMERY INFECTIOUS DISEASE ASSOCIATES,PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-26",
"last_updated": "2009-06-19",
"status": "A",
"authorized_official_last_name": "TRINH",
"authorized_official_first_name": "PHUONG",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-588-3322",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
- Montgomery County Maryland Government
- Montgomery County Maryland Government
- Montgomery Endoscopy Center
- Montgomery Family Medicine Associates PC
- Montgomery Health Center, LLC
- Derrick Alan Montgomery
- Joshua Montgomery
- Stephanie Orolle Monthe Ntchouayang
- Kitty Joan Ann Montie
- Monya Cohen PSYD LLC
All providers in Silver Spring, MD · Infectious Disease Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.