Healthcare Provider Details
I. General information
NPI: 1689512345
Provider Name (Legal Business Name): ADVENTIST PHYSICIAN SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7501 SURRATTS RD
CLINTON MD
20735-3362
US
IV. Provider business mailing address
820 W DIAMOND AVE STE 500
GAITHERSBURG MD
20878-1469
US
V. Phone/Fax
- Phone: 301-877-5840
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAMELA
MCCLAIN
Title or Position: VICE PRESIDENT REVENUE CYCLE
Credential:
Phone: 301-315-3430