FREDERICK SURGICAL CENTER LLC NPI 1376542076

NPI Information

  • NPI: 1376542076
  • Provider Name: FREDERICK SURGICAL CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 21D0893968
  • Address: 45 THOMAS JOHNSON DRIVE
    SUITE 207
    FREDERICK, MD
    ZIP 21702
  • Phone: (301) 694-3400

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NPI Details

FREDERICK SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Frederick, MD. FREDERICK SURGICAL CENTER, LLC NPI is 1376542076. The provider is registered as an organization entity type.

The provider's business location address is:

45 THOMAS JOHNSON DRIVE
SUITE 207
FREDERICK, MD
ZIP 21702
Phone: (301) 694-3400
Fax: (301) 694-3620

The provider's authorized official is Thomas A Newman .
The authorized official title is Evp And Coo and has the following contact phone number (405) 608-1709.

The CLIA number assigned to this NPI record is 21D0893968 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg (HCPCS:C9088)
  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Dexamethasone, lacrimal ophthalmic insert, 0.1 mg (HCPCS:J1096)
  • Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg (HCPCS:Q9968)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Partial removal of breast (HCPCS:19301)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Biopsy or removal of lymph nodes (HCPCS:38500)
  • Biopsy or removal of deep lymph nodes of underarm (HCPCS:38525)
  • Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Removal of membrane of retina (HCPCS:67041)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Aspiration of lens material by fragmenting and aspiration (HCPCS:66850)
  • Simple complete removal of breast (HCPCS:19303)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Removal of growth of breast identified by x-ray marker, first growth (HCPCS:19125)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Removal of nasal sinus tissue using an endoscope (HCPCS:31267)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)

The enumeration date for this NPI number is 7/15/2005 and was last updated on 10/7/2014.

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 SurgicalA1039MARYLANDYes

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
1269918OTHERMARYLANDMAMSI
2414472400MEDICAIDMARYLAND
3ZZ70OTHERMARYLANDMEDICARE PROVIDER NUMBER

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: 11/21/2025

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