ANNAPOLIS SURGERY PAVILION LLC. NPI 1619324068

NPI Information

  • NPI: 1619324068
  • Provider Name: ANNAPOLIS SURGERY PAVILION, LLC.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 166 DEFENSE HWY STE 101
    ANNAPOLIS, MD
    ZIP 21401
  • Phone: (410) 643-1999

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NPI Details

ANNAPOLIS SURGERY PAVILION, LLC. is an ambulatory surgical clinic center in Annapolis, MD. ANNAPOLIS SURGERY PAVILION, LLC. NPI is 1619324068. The provider is registered as an organization entity type.

The provider's business location address is:

166 DEFENSE HWY STE 101
ANNAPOLIS, MD
ZIP 21401-034
Phone: (410) 643-1999

The provider's authorized official is Tina J Dimarino .
The authorized official title is Administrator and has the following contact phone number (410) 935-5194.

The enumeration date for this NPI number is 5/16/2016 and was last updated on 8/3/2016.

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

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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