NPIMap

Organization Active NPI

Potomac Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Fairfax, VA
National Provider Identifier
1881661379
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OH 692 Issued in VA
Legal business name
POTOMAC AMBULATORY SURGERY CENTER
Practice address
8503 Arlington Boulevard
Suite 150
Fairfax, VA 22031-4603
Phone
(703) 204-0000
Fax
(301) 564-6391
NPI assigned
Mar 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Lawrence Welch, M.D.
Title
Partner / Physician
Phone
(301) 564-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OH 692 VA Primary

Addresses

Primary practice location

8503 Arlington Boulevard
Suite 150
Fairfax, VA 22031-4603

Mailing address

6410 Rockledge Dr
Suite 300
Bethesda, MD 20817-7811
Phone (301) 564-3131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881661379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "SUITE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177811",
            "telephone_number": "301-564-3131",
            "fax_number": "301-564-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 ARLINGTON BOULEVARD",
            "address_2": "SUITE 150",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314603",
            "telephone_number": "703-204-0000",
            "fax_number": "301-564-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PARTNER / PHYSICIAN",
        "authorized_official_telephone_number": "301-564-3131",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "OH 692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.