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Contact Information

SHADY GROVE CHILDREN'S GAD, LLC
15001 SHADY GROVE RD
ROCKVILLE, MD20850-6352
 Phone: 301-307-3333
 Fax: 301-307-5555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Dentist Anesthesiologist

1223D0004X
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for SHADY GROVE CHILDREN'S GAD, LLC

NPI Number 1184461063
LBN Legal business name SHADY GROVE CHILDREN'S GAD, LLC
Authorized official JEFFREY WHEELER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2024
Last updated 01/13/2026 - About 5 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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