Provider Demographics
NPI:1386691442
Name:SILVER SPRING EMERGENCY PHYSICIANS, P.C.
Entity type:Organization
Organization Name:SILVER SPRING EMERGENCY PHYSICIANS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:OUFIERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-754-7000
Mailing Address - Street 1:PO BOX 17315
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-1315
Mailing Address - Country:US
Mailing Address - Phone:443-274-2900
Mailing Address - Fax:443-274-2391
Practice Address - Street 1:1500 FOREST GLEN RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1483
Practice Address - Country:US
Practice Address - Phone:301-754-7000
Practice Address - Fax:443-274-2391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC4435OtherBCBS GROUP PROVIDER #
MDKH67SIOtherBCBS GROUP PROVIDER #
MD356702800Medicaid
MDKH67SIOtherBCBS GROUP PROVIDER #