Germantown Ambulatory Surgical Center LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A1270 Issued in MD

Legal business name

GERMANTOWN AMBULATORY SURGICAL CENTER LLC

Practice address

20629 Boland Farm Rd
Germantown, MD 20876-4017

Phone

(301) 428-3040

Fax

(301) 428-0071

NPI assigned

Feb 27, 2007

Last updated

Mar 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Asghar FarsaiiNPI 1285795120

Title

Medical Director

Phone

(301) 428-3040

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 2

• Shahla N Farsaii Former legal business name
• GERMANTOWN UROLOGY Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Asghar A Farsaii, MD

  • Urology Physician
  • Germantown, MD
  • NPI 1285795120
  NPD Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1881721280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20629 BOLAND FARM RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764017",
            "telephone_number": "301-428-3040",
            "fax_number": "301-428-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20629 BOLAND FARM RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764017",
            "telephone_number": "301-428-3040",
            "fax_number": "301-428-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN AMBULATORY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "FARSAII",
        "authorized_official_first_name": "ASGHAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-428-3040"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "A1270",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "A1270",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MD",
            "license": "A1270",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505000600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shahla N Farsaii",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "GERMANTOWN UROLOGY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "GERMANTOWN UROLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan E Gaynor
• Bradley Gelfand, MD
• Athanasius Demosthenes George, M.D.
• Gregory Francis Gerber Jr.
• Germantown Ambulatory Surgical Center LLC
• Germantown Chiropractic & Wellness PC
• Germantown Chiropractic LLC
• Germantown Dental Group
• Germantown Optometry, LLC (my eye dr)
• Germantown Outpatient Imaging, LLC

• Urology Physician in Germantown, MD
• Providers in Germantown, MD by specialty
• Urology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.