Organization Active NPI

Shady Grove Fertility Reproductive Science Center

  • Reproductive Endocrinology Physician
  • Rockville, MD
National Provider Identifier
1891849832
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
SHADY GROVE FERTILITY REPRODUCTIVE SCIENCE CENTER
Practice address
9601 Blackwell Road
Suite 400
Rockville, MD 20850-6478
Phone
(301) 340-1188
Fax
(301) 340-6478
NPI assigned
Jan 23, 2007
Last updated
Feb 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Authorized official

Name
Shelly Shapiro
Title
Chief Financial Officer
Phone
(301) 545-1407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

9601 Blackwell Road
Suite 400
Rockville, MD 20850-6478

Mailing address

9600 Blackwell Rd Ste 500
Rockville, MD 20850-3783
Phone (301) 340-1188

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0212170Shady Grove Fertility Reproductive9601 Blackwell Road Suite 400 and 500, Rockville, MD 20850AccreditationNov 13, 2027

National Provider Directory

National Provider Directory

Locations

1801 K St NW
Ste M110
Washington, DC 20006

2021 K St NW
Ste 101107
Washington, DC 20006

2021 K St NW
Ste 101701
Washington, DC 20006

2021 K St NW
Ste 600
Washington, DC 20006
Phone (202) 741-3387

5215 Loughboro Rd NW
Ste 410
Washington, DC 20016
Phone (202) 677-4720

2000 Medical Pkwy
Ste 308
Annapolis, MD 21401
Phone (410) 224-5500

720 Aliceanna St
Ste 300
Baltimore, MD 21202
Phone (443) 825-3340

10630 Little Patuxent Pkwy
Ste 305
Columbia, MD 21044
Phone (410) 997-6999

1165 Imperial Dr
Ste 200
Hagerstown, MD 21740
Phone (301) 665-9098

9601 Blackwell Rd
Ste 400
Rockville, MD 20850
Phone (301) 340-1188

9601 Blackwell Rd
Ste 400500
Rockville, MD 20850
Phone (301) 340-1188

9601 Blackwell Rd
Ste 500
Rockville, MD 20850
Phone (301) 340-1188

804 Pershing Dr
Ste 4
Silver Spring, MD 20910
Phone (301) 585-0859

901 Dulaney Valley Rd
Ste 616
Towson, MD 21204
Phone (410) 512-8300

3010 Crain Hwy
Waldorf, MD 20601

3010 Crain Hwy
Ste 201
Waldorf, MD 20601

901 N Stuart St
Ste 601
Arlington, VA 22203

901 N Stuart St
Ste 610
Arlington, VA 22203

12011 Route 50
Fairfax, VA 22033
Phone (703) 383-5400

200 Executive Center Pkwy
Fredericksburg, VA 22401
Phone (540) 446-2654

7607 Forest Ave
Henrico, VA 23229

205 Hirst Rd
Ste 303
Purcellville, VA 20132
Phone (540) 338-9896

1705 Amherst St
Ste L1
Winchester, VA 22601

Practitioners & affiliated clinicians

Practitioners 65

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.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1891849832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BLACKWELL RD STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503783",
            "telephone_number": "301-340-1188",
            "fax_number": "301-340-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL ROAD",
            "address_2": "SUITE 400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506478",
            "telephone_number": "301-340-1188",
            "fax_number": "301-340-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADY GROVE FERTILITY REPRODUCTIVE SCIENCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "301-545-1407"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.