Active NPI
Gut Theory Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Washington, DC
National Provider Identifier
1942028873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- GUT THEORY SURGERY CENTER, LLC
- Practice address
- 5225 Wisconsin Ave NW Ste 200B
Washington, DC 20015-2014 - Phone
- (205) 821-4341
- NPI assigned
- Sep 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janese Laster, MD
- Title
- Medical Director
- Phone
- (205) 821-4321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
5225 Wisconsin Ave NW Ste 200B
Washington, DC 20015-2014
Mailing address
5225 Wisconsin Ave NW Ste 200B
Washington, DC 20015-2014
Phone (205) 821-4341
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 09D2332339 | Gut Theory Surgery Center LLC | Certificate of waiver | Oct 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
5225 Wisconsin Ave NW
Ste 200B
Washington, DC 20015
Phone (205) 821-4341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727654400000",
"number": "1942028873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 WISCONSIN AVE NW STE 200B",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152014",
"telephone_number": "205-821-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 WISCONSIN AVE NW STE 200B",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152014",
"telephone_number": "205-821-4341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUT THEORY SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-30",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A",
"authorized_official_last_name": "LASTER",
"authorized_official_first_name": "JANESE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "205-821-4321",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.