MEDICARE: ADVENTIST PHYSICIAN SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician

General Provider Information

NPI Number	:	1700612074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTIST PHYSICIAN SERVICES, INC.

Provider Business Mailing Address
First Line	:	820 W DIAMOND AVE STE 500
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20878-1469
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11886 HEALING WAY STE 404
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7917
Country	:	US
Telephone Number	:	240-637-6000
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT REVENUE CYCLE
Name	:	PAMELA MCCLAIN
Credential	:
Telephone Number	:	301-315-3430

Provider Enumeration Date	:	09/12/2024
Last Update Date	:	04/06/2026

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