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SURGICENTER OF BALTIMORE LLC NPI 1447254172


NPI Information

NPI: 1447254172
Provider Name: SURGICENTER OF BALTIMORE LLC

Other Name: SURGICENTER OF BALTIMORE

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 21D0726708

Address:
23 CROSSROADS DRIVE
STE 100
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 356-0300
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SURGICENTER OF BALTIMORE LLC is an ambulatory surgical clinic center in Owings Mills, MD. SURGICENTER OF BALTIMORE LLC NPI is 1447254172. The provider is registered as an organization entity type.
The provider Other Name Is Surgicenter Of Baltimore.

The provider's business location address is:

23 CROSSROADS DRIVE
STE 100
OWINGS MILLS, MD
ZIP 21117-476
Phone: (410) 356-0300
Fax: (410) 356-7507

The provider's authorized official is Rosemary L. Lambie .
The authorized official title is Delegated Official and has the following contact phone number (410) 356-2409.

The CLIA number assigned to this NPI record is 21D0726708 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2005 and was last updated on 9/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalA1045MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16800095OTHERMARYLANDUNITED HEALTHCARE
22614116OTHERMARYLANDAETNA
3490001255OTHERMARYLANDMEDICARE RAILROAD
402LMOTHERMARYLANDBCBS
5110694OTHERMARYLANDKAISER
625872OTHERMARYLANDMAMSI
720103019SAOTHERMARYLANDCIGNA
80181741OTHERMARYLANDAETNA
9055335OTHERMARYLANDJOHNS HOPKINS
10NE3OTHERMARYLANDCAREFIRST BCBS
11242321900MEDICAIDMARYLAND
12ZZ67MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.