CARROLL FOOTWORKS SURGERY CENTER LLC NPI 1124136437

NPI Information

  • NPI: 1124136437
  • Provider Name: CARROLL FOOTWORKS SURGERY CENTER ,LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: GLYNDON AMBULATORY SURGERY CENTER
  • Address: 4 GLYNDON DR
    SUITE 2 A
    REISTERSTOWN, MD
    ZIP 21136
  • Phone: (410) 795-2155

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NPI Details

CARROLL FOOTWORKS SURGERY CENTER ,LLC is an ambulatory surgical clinic center in Reisterstown, MD. CARROLL FOOTWORKS SURGERY CENTER ,LLC NPI is 1124136437. The provider is registered as an organization entity type.
The provider Is Doing Business As Glyndon Ambulatory Surgery Center.

The provider's business location address is:

4 GLYNDON DR
SUITE 2 A
REISTERSTOWN, MD
ZIP 21136-000
Phone: (410) 795-2155
Fax: (410) 795-2154

The provider's authorized official is Annette Joyce .
The authorized official title is Director and has the following contact phone number (410) 795-2155.

The enumeration date for this NPI number is 8/27/2006 and was last updated on 9/2/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalA1428MARYLANDYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1070OTHERMARYLANDGHMSI
21410709OTHERMARYLANDAETNA HMO
3196ZMEDICARE PINMARYLAND
47469894OTHERMARYLANDAETNA PPO

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: 3/30/2025

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