Medstar Medical Group - Southern Maryland LLC · Surgery Physician

3261 Old Washington Rd Ste 1012, Waldorf, MD 20602-3228

Overview

Medstar Medical Group - Southern Maryland LLC is a Surgery Physician (organization) practicing in Waldorf, Maryland. The National Provider Identifier (NPI) is #1639019573, which was assigned on March 31, 2026, and the registration record was last updated on March 31, 2026. The practitioner's main practice location is at 3261 Old Washington Rd Ste 1012, Waldorf, MD 20602-3228; the contact telephone number is 3018439060, and the fax number is 3016453092. The primary taxonomy of Medstar Medical Group - Southern Maryland LLC is Surgery Physician (208600000X). The authorized official for Medstar Medical Group - Southern Maryland LLC is Alan Adair Buster Jr. (Coo).

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Provider Information

NPI 1639019573
Entity Type Organization
Organization Name MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
Provider Name MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
Practice Address 3261 Old Washington Rd Ste 1012
Waldorf
MD 20602-3228
Practice Telephone 3018439060
Practice Fax Number 3016453092
Mailing Address 24035 Three Notch Rd
Hollywood
MD 20636-4871
Mailing Telephone 3013737900
Mailing Fax Number 3013736900
Certification Date 2026-03-31
Enumeration Date 2026-03-31
Last Update Date 2026-03-31
Is Organization Subpart N

Authorized Official Information

Official Name ALAN ADAIR BUSTER JR.
Official Title COO
Telephone 3013737905

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y208600000XSurgery193200000X MULTI-SPECIALTY GROUP

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Medstar Medical Group - Southern Maryland LLC 28030 Old Village Road, Mechanicsville, MD 20659-3295Family Medicine Physician2025-02-27
Medstar Medical Group - Southern Maryland LLC 14300 Gallant Fox Lane Suite 123, Bowie, MD 20715-1001Hematology & Oncology Physician2025-02-27
Medstar Medical Group - Southern Maryland LLC 26840 Point Lookout Road, Leonardtown, MD 20650-0664Family Medicine Physician2025-03-03
Medstar Medical Group - Southern Maryland LLC 22650 Cedar Lane Ct, Leonardtown, MD 20650-3965Internal Medicine Physician2025-02-27
Medstar Medical Group - Southern Maryland LLC 9811 Greenbelt Road Suite 104, Lanham, MD 20706-6241Family Medicine Physician2025-02-27
Medstar Medical Group - Southern Maryland LLC 1015 N Prince Frederick Blvd, Prince Frederick, MD 20678-3193Urology Physician2025-02-27
Medstar Medical Group - Southern Maryland LLC 952 E Swann Creek Road, Fort Washington, MD 20744-1124Clinical Pathology Physician2025-02-27
Medstar Medical Group - Southern Maryland LLC 23415 Three Notch Rd 2051, California, MD 20619-4018Hematology & Oncology Physician2025-02-27
Medstar Medical Group - Southern Maryland LLC 10403 Hospital Dr 102, Clinton, MD 20735-3134Cardiovascular Disease Physician2025-02-27
Medstar Medical Group - Southern Maryland LLC 130 Hospital Rd Ste 300, Prince Frederick, MD 20678-4057Pulmonary Disease Physician2025-02-27
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Taxonomy Information

Primary Taxonomy

Code 208600000X
Taxonomy Surgery Physician
Classification Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Coastal Gastroenterolgy and General Surgery LLC 3440 Tamiami Trl Unit 1, Port Charlotte, FL 33952-8134Surgery Physician2026-04-02
Landon Krone 8017 Burthe St, New Orleans, LA 70118-2732Surgery Physician2026-03-26
Ximed Center for Medical & Surgical Weight Management, Inc 9850 Genesee Ave Ste 570, La Jolla, CA 92037-1229Surgery Physician2026-04-09
Mathew Dean Sexton 1 Hospital Drive Columbia Mo 65212., Columbia, MO 65212-0001Surgery Physician2026-04-10
Carroll Health Group, LLC 535 Old Westminster Pike Ste 104, Westminster, MD 21157-6267Surgery Physician2026-04-01
Taina Cancel 17240 Cortez Blvd, Brooksville, FL 34601-8921Surgery Physician2026-04-02
Crescent Wound Care Inc 765 W Nasa Blvd, Melbourne, FL 32901-1815Surgery Physician2026-04-09
Navajo Health Foundation-Sage Memorial Hospital, Inc. Us 191 & Az 264, Ganado, AZ 86505Surgery Physician2026-04-02
Graham Hospital Association 2028 N Seminary St, Galesburg, IL 61401-4559Surgery Physician2026-04-09
True Care Surgical Assist, LLC 37 E Willow St, Millburn, NJ 07041-1416Surgery Physician2026-04-07
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Location Information

Street Address 3261 OLD WASHINGTON RD STE 1012
City WALDORF
State MD
Zip Code 20602-3228
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Share Wellness Center 605 Post Office Rd Ste 305, Waldorf, MD 20602-1913Group Psychotherapy Psychologist2026-03-23
Marcus Carmie Campbell II 5701 Rivershark Lane, Waldorf, MD 20602Behavior Technician2025-10-08
Heaven Smith 2741 Red Lion Pl, Waldorf, MD 20602-2030Behavior Technician2025-11-04
Acora Dental, LLC 85 High St Ste 6, Waldorf, MD 20602-2150General Practice Dentistry2020-10-07
Rows Healthcare, LLC 12070 Old Line Ctr Ste 103, Waldorf, MD 20602-2503Gynecology Physician2025-05-09
Moanne Joseph 603 Post Office Rd Ste 307, Waldorf, MD 20602-1914Social Worker2025-10-24
Olivia Dryjski 3460 Old Washington Rd Ste 302, Waldorf, MD 20602Ophthalmology Physician2013-04-08
Philip Andrew Thorn 603 Post Office Rd, Waldorf, MD 20602-1914Mental Health Counselor2007-01-04
Douglas Avery & Associates Ltd 12070 Old Line Ctr, Ste 107, Waldorf, MD 20602-2503Physical Therapy Clinic/Center2005-06-21
Waldorf Oral Surgery LLC 603 Post Office Rd Ste 110, Waldorf, MD 20602-1914Oral and Maxillofacial Surgery (Dentist)2025-09-09
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.