Organization
INTEGRATED SURGICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY C HARRINGTON M.D. (OWNER)
(804) 360-1855
Entity
Organization
Contact information
Practice address
8241 GEORGIA AVE, SUITE #102, SILVER SPRING, MD 20910-4510
(301) 589-8737
(240) 450-5700
Mailing address
13437 CRANDALL CT, RICHMOND, VA 23233-1029
(804) 360-1855
(804) 360-1629
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0061148
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001014600
MARYLAND MEDICAL ASSISTANCE (MAO)
MD
05
—
001014600
—
MD
05
—
036747600
—
DC
05
—
1014600
—
MD
01
—
105656
ATHTHEM BC BS
MD
01
—
105657
ANTHEM BC BS
DC
01
—
21849
CIGNA
MD
01
—
238513
ANTHEM BC BS
MD
01
—
238514
BC BS
VA
01
—
3640878
AETNA
MD
01
—
458642
MAMSI
MD
01
—
5396573
AETNA PPO
MD
01
—
5798960
CIGNA
—
01
—
718333
NCPPO UNICARE
MD
01
—
826A
CAREFIRST CAPITAL CARE
MD
01
—
J740-001
CAREFIRST BC BS
MD
Enumeration date
12/03/2006
Last updated
12/05/2008
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