CHARLES COUNTY SURGICAL ASSOCIATES, LLC NPI 1003002163

Dermatology (MOHS-Micrographic Surgery) in White Plains, MD

About CHARLES COUNTY SURGICAL ASSOCIATES, LLC

Charles County Surgical Associates, Llc is a provider in White Plains, MD. The NPI number assigned to this provider is 1003002163. The practitioner's primary taxonomy code is Dermatology (207ND0101X). The provider is registered as an organization and their NPI record was last updated 11 years ago. Charles County Surgical Associates, Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI

1003002163

Provider NameCHARLES COUNTY SURGICAL ASSOCIATES, LLC
Provider Location Address4225 ALTAMONT PL UNIT 3 WHITE PLAINS, MD 20695
Provider Mailing Address4225 ALTAMONT PL UNIT 3 WHITE PLAINS, MD 20695
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-21-2007
Last Update Date09-21-2007

Primary Taxonomy

Taxonomy Code207ND0101X
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
SpecializationMOHS-Micrographic Surgery
Taxonomy DescriptionThe highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Business Address

CHARLES COUNTY SURGICAL ASSOCIATES, LLC
4225 ALTAMONT PL UNIT 3
WHITE PLAINS, MD
ZIP 20695
Phone: (301) 374-9591

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Mailing Address

CHARLES COUNTY SURGICAL ASSOCIATES, LLC
4225 ALTAMONT PL UNIT 3
WHITE PLAINS, MD
ZIP 20695
Phone:

Authorized Official

Authorized Official Name ROBERT S BERGER
Authorized Official TitleMD
Authorized Official Phone(301) 374-9591

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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