Organization Active NPI

Rockville Medical and Disc Center LLC

  • Family Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1942501242
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S01924 Issued in MD
Legal business name
ROCKVILLE MEDICAL AND DISC CENTER LLC
Practice address
700 Russell Ave
Gaithersburg, MD 20877-2603
Phone
(301) 355-5260
NPI assigned
Nov 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Dr. Stephen H Wander, DC
Title
Owner
Phone
(301) 770-1818

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X S01924 MD Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X S0194 MD
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X S01924 MD
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X S01924 MD

Addresses

Primary practice location

700 Russell Ave
Gaithersburg, MD 20877-2603

Mailing address

700 Russell Avenue
Gaithersburg, MD 20877-2603
Phone (301) 355-5260

National Provider Directory

National Provider Directory

Locations

700 Russell Ave
Gaithersburg, MD 20877
Phone (301) 355-5260

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1942501242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RUSSELL AVENUE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772603",
            "telephone_number": "301-355-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RUSSELL AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772603",
            "telephone_number": "301-355-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVILLE MEDICAL AND DISC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "WANDER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-770-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "S01924",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "S0194",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "S01924",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "S01924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.