# ADVENTIST PHYSICIAN SERVICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adventist Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134055080
- **Authorized official:** OKEZUE NWACHUKU (MANAGED CARE DIRECTOR)
- **Authorized official phone:** (301) 315-3170

## Contact information

- **Practice address:** 9601 BLACKWELL RD STE 100, ROCKVILLE, MD 20850-6477
- **Practice address phone:** (301) 340-9200
- **Mailing address:** 820 W DIAMOND AVE STE 500, GAITHERSBURG, MD 20878-1469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2026
- **Last updated:** 06/22/2026
