Chevy Chase Surgical Partners LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

C00815 Issued in MD

Legal business name

CHEVY CHASE SURGICAL PARTNERS LLC

Practice address

6430 Rockledge Dr Ste 510
Bethesda, MD 20817-7893

Phone

(240) 912-2206

NPI assigned

Feb 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. James Gardiner, M.D.

Title

Owner

Phone

(240) 912-2206

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1962734814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 ROCKLEDGE DR STE 510",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177893",
            "telephone_number": "240-912-2206",
            "fax_number": "301-530-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 ROCKLEDGE DR STE 510",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177893",
            "telephone_number": "240-912-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEVY CHASE SURGICAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-912-2206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C00815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ida Cheung, CRNA
• Ferrene Cheutchoua Siegha
• Chevy Chase Home Care
• Chevy Chase Home Care
• Chevy Chase Pediatric Center P.C.
• Emily Chew
• Candace CHI
• Woo Jung Amos CHI, DDS
• Ryan Marie Chiarella, D.O.
• Francis Anthony Chiefe, DO

• Surgical Physician Assistant in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.