MGMC, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MGMC, LLC

Practice address

11325 Pembrooke SQ
Suite 115
Waldorf, MD 20603-4807

Phone

(866) 767-1682

Fax

(301) 843-2946

NPI assigned

Dec 15, 2014

Organization subpart

Yes

Parent organization

MGMC, LLCAs reported in NPPES

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

Authorized official

Name

Stephanie Schneider

Title

VP

Phone

(703) 558-1403

Specialties & licenses 1

Addresses

Other names 1

• MEDSTAR GEORGETOWN ORTHO INST Doing business as

Part of

Georgetown University Hospital

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• MGMC, LLC

  • General Practice Physician
  • Frederick, MD
  • NPI 1285440131
  NPPES parent name

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1821496498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 TILDEN ST NW STE 5N",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083030",
            "telephone_number": "888-896-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 PEMBROOKE SQ",
            "address_2": "SUITE 115",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034807",
            "telephone_number": "866-767-1682",
            "fax_number": "301-843-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGMC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MGMC, LLC",
        "enumeration_date": "2014-12-15",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "703-558-1403"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDSTAR GEORGETOWN ORTHO INST",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDSTAR GEORGETOWN ORTHO INST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.