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SURGICAL ASSOCIATES CHARTERED
NPI 1508355470
Surgery - Vascular Surgery in Waldorf, MD

Active since May 07, 2018
11370 PEMBROOKE SQ, WALDORF, MD 20603(240) 427-1620(301) 645-8663 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Surgical Associates Chartered NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL ASSOCIATES CHARTERED (NPI 1508355470) is a healthcare organization registered as a vascular surgery in Waldorf, Maryland and active in the NPI registry since May 2018. The organization lists Rita Grover, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1508355470
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSURGICAL ASSOCIATES CHARTERED
Location Address11370 PEMBROOKE SQWaldorf, MD 20603-4842
Mailing Address5801 Allentown Rd Ste 502Camp Springs, MD 20746-4653 · (240) 427-1630 · Fax (240) 492-2070
Phone(240) 427-1620
Fax(301) 645-8663
Organization SubpartYes
Authorized OfficialRita GroverAuthorized Official · (240) 427-1630
Enumeration DateMay 7, 2018
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1508355470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
11370 PEMBROOKE SQ, Waldorf, MD 20603
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Other Identifiers 1

Medicaid205221100MD

Group Practice 1

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERIDIAN ANESTHESIA SERVICES, LLC
Anesthesiology
11370 PEMBROOKE SQ
WALDORF, MD 20603
Charles County (410) 610-3608
PEMBROOKE ANESTHESIA ASSOC., LLC
Anesthesiology
11370 PEMBROOKE SQ
WALDORF, MD 20603
Charles County (301) 952-1370
EMBARKA CHAIB
Nurse Practitioner (Family)
11370 PEMBROOKE SQ
WALDORF, MD 20603
Charles County (301) 870-0660
HEART CENTER OF SOUTHERN MARYLAND LLP
Internal Medicine (Cardiovascular Disease)
11370 PEMBROOKE SQ
WALDORF, MD 20603
Charles County (301) 932-5890
PEMBROOKE SQUARE SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
11370 PEMBROOKE SQ
WALDORF, MD 20603
Charles County (301) 396-8492

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgical Associates Chartered's NPI number?

The NPI number for Surgical Associates Chartered is 1508355470. It was assigned to this organization in the NPPES registry on May 7, 2018.

Where is Surgical Associates Chartered located?

Surgical Associates Chartered is located at 11370 Pembrooke Sq, Waldorf, MD 20603. The listed phone number is (240) 427-1620.

What is Surgical Associates Chartered's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Surgical Associates Chartered was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.