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SURGICAL ASSOCIATES, CHARTERED
NPI 1548406960
Surgery - Vascular Surgery in Waldorf, MD

Active since January 07, 2009
12070 OLD LINE CTR, SUITE 306, WALDORF, MD 20602(301) 868-8485(301) 868-0638 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surgical Associates, Chartered NPPES

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

SURGICAL ASSOCIATES, CHARTERED (NPI 1548406960) is a healthcare organization registered as a vascular surgery in Waldorf, Maryland and active in the NPI registry since January 2009. The organization lists Michelle Burton, Credentialing/contracts Manager, as its authorized official.

NPPES Registry Identity

NPI1548406960
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSURGICAL ASSOCIATES, CHARTERED
Location Address12070 OLD LINE CTR, SUITE 306Waldorf, MD 20602-2513
Mailing Address7501 Surratts Rd, Suite 303Clinton, MD 20735-3362 · (301) 868-8485 · Fax (301) 868-0638
Phone(301) 868-8485
Fax(301) 868-0638
Organization SubpartNo
Authorized OfficialMichelle BurtonCredentialing/contracts Manager · (301) 868-8485
Enumeration DateJanuary 7, 2009
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1548406960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MD · D24644
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 · License H0061922 (MD)
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License D0059944 (MD), D26021 (MD)
Also ListedPhysician AssistantTaxonomy 363A00000X · License C0003134 (MD)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License R119098 (MD)
12070 OLD LINE CTR, Waldorf, MD 20602
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Other Identifiers 10

OtherB94310Upin
OtherB66909Upin
OtherC62030Upin
OtherS98671Upin
OtherC62118Upin
OtherH43765Upin
OtherH04537Upin
OtherB94699Upin
OtherC76566Upin
OtherE93554Upin

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

WILLIAM JOHN OETGEN M.D.
Specialist
12070 OLD LINE CTR, SUITE 100
WALDORF, MD 20602
Charles County (301) 705-7870
SEETARAMAYYA NAGULA M.D.
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, SUITE 200
WALDORF, MD 20602
Charles County (301) 645-8035
JOSEPH RAYMOND MURPHY M.D.
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, STE 200
WALDORF, MD 20602
Charles County (301) 645-8035
MS. JENNIFER LYNN KNODE PAC
Physician Assistant (Medical)
12070 OLD LINE CTR, STE 207
WALDORF, MD 20602
Charles County (301) 870-0660
JESSICA KHOURY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12070 OLD LINE CTR
SAINT CHARLES, MD 20602
Charles County (301) 870-4100
DR. DAWN STEPHANIE CHRISTOPHER MD
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, SUITE 303
WALDORF, MD 20602
Charles County (301) 645-5100
ROBERT TIMOTHY PACE MD
Family Medicine
12070 OLD LINE CTR, SUITE 302
WALDORF, MD 20602
Charles County (301) 645-6667
TERENCE BERTELE M.D.
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, STE 303
WALDORF, MD 20602
Charles County (301) 645-5100

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 1548406960. It was assigned to this organization in the NPPES registry on January 7, 2009.

Where is Surgical Associates, Chartered located?

Surgical Associates, Chartered is located at 12070 Old Line Ctr Suite 306, Waldorf, MD 20602. The listed phone number is (301) 868-8485.

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.