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 established in White Plains, Maryland specializing in dermatology (mohs-micrographic surgery) . The NPI number of Charles County Surgical Associates, Llc is 1003002163 and was assigned on September 2007. The practitioner's primary taxonomy code is 207ND0101X. The provider is registered as an organization and their NPI record was last updated 15 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. The authorized official of this NPI record is Robert S Berger (Md)
| NPI | 1003002163 |
| Provider Name | CHARLES COUNTY SURGICAL ASSOCIATES, LLC |
| Provider Location Address | 4225 ALTAMONT PL UNIT 3 WHITE PLAINS, MD 20695 |
| Provider Mailing Address | 4225 ALTAMONT PL UNIT 3 WHITE PLAINS, MD 20695 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 09-21-2007 |
| Last Update Date | 09-21-2007 |
Primary Taxonomy
| Taxonomy Code | 207ND0101X |
| Classification | Dermatology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | MOHS-Micrographic Surgery |
| Taxonomy Description | The 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
Mailing Address
CHARLES COUNTY SURGICAL ASSOCIATES, LLC
4225 ALTAMONT PL UNIT 3
WHITE PLAINS, MD
ZIP 20695
Phone:
Group Taxonomy
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.