MEDSTAR SOUTHERN MARYLAND VASCULAR AND GENERAL SURGERY
NPI 1063880599
Surgery - Vascular Surgery in Clinton, MD
NPI Status: Active since September 15, 2015
Contact Information
7501 SURRATTS RD
SUITE 208
CLINTON, MD
ZIP 20735
Phone: (301) 877-7353
Fax: (301) 877-5637
- Organization
- Surgery
- Vascular Surgery
- CLIA Number: 21D0210256
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 07-26-2027
About MEDSTAR SOUTHERN MARYLAND VASCULAR AND GENERAL SURGERY
This page provides the complete NPI Profile along with additional information for Medstar Southern Maryland Vascular And General Surgery, a provider established in Clinton, Maryland operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1063880599 assigned on September 2015. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Medstar Southern Maryland Vascular And General Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Medstar Southern Maryland Vascular And General Surgery. The authorized official of this NPI record is Jane E Raymond (Associate Vp)
- NPI
- 1063880599
- Provider Legal Name
- MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
- Other Organization Name
- MEDSTAR SOUTHERN MARYLAND VASCULAR AND GENERAL SURGERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7501 SURRATTS RD SUITE 208 CLINTON, MD 20735
- Location Phone
- (301) 877-7353
- Location Fax
- (301) 877-5637
- Mailing Address
- 7501 SURRATTS RD SUITE 208 CLINTON, MD 20735
- Mailing Phone
- (301) 877-7353
- Mailing Fax
- (301) 877-5637
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-15-2015
- Last Update Date
- 09-15-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D0210256
- Facility Type
- Hospital
- Certificate Effective Date
- July 27, 2025
- Certificate Expiration Date
- July 26, 2027
- Laboratory Director
- DR. YAHIA M. TAGOURI
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Medstar Southern Maryland Vascular And General Surgery on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for MEDSTAR SOUTHERN MARYLAND VASCULAR AND GENERAL SURGERY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063880599, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CLINTON, MD 20735
CLINTON, MD 20735
CLINTON, MD 20735
CLINTON, MD 20735
CLINTON, MD 20735
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063880599, enumerated as an "organization" on September 15, 2015.
The provider is located at 7501 SURRATTS RD SUITE 208 CLINTON, MD 20735 and the phone number is (301) 877-7353.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
