Healthcare Provider Details

I. General information

NPI: 1700256559
Provider Name (Legal Business Name): DIMENSIONS HEALTHCARE ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2015
Last Update Date: 10/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 MERCY LN 2ND FLOOR
CHEVERLY MD
20785-1157
US

IV. Provider business mailing address

3001 HOSPITAL DR DHA BILLING OFFICE
CHEVERLY MD
20785-1189
US

V. Phone/Fax

Practice location:
  • Phone: 301-618-1550
  • Fax: 301-429-1873
Mailing address:
  • Phone: 301-618-3368
  • Fax: 301-618-3521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN TWADDLE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 301-618-3615