ELKTON GENERAL SURGERY LLC NPI 1548246556

NPI Information

  • NPI: 1548246556
  • Provider Name: ELKTON GENERAL SURGERY, LLC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Former Legal Business Name: TRI-STATE SURGICAL ASSOC LLC
  • Address: 111 WEST HIGH ST.
    SUITE 207
    ELKTON, MD
    ZIP 21921
  • Phone: (410) 398-3950

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NPI Details

ELKTON GENERAL SURGERY, LLC is a surgery in Elkton, MD. The provider is 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. ELKTON GENERAL SURGERY, LLC NPI is 1548246556. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Tri-state Surgical Assoc Llc.

The provider's business location address is:

111 WEST HIGH ST.
SUITE 207
ELKTON, MD
ZIP 21921
Phone: (410) 398-3950
Fax: (410) 398-8661

The provider's authorized official is Elizabeth Lowe .
The authorized official title is Owner and has the following contact phone number (410) 398-3950.

The enumeration date for this NPI number is 12/21/2005 and was last updated on 12/16/2014.

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
1208600000XSurgeryMARYLANDYes

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
1406465800MEDICAIDMARYLAND
2084NMEDICARE PINMARYLAND

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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