THOMAS JOHNSON SURGERY CENTER LLC NPI 1679757959

NPI Information

NPI: 1679757959
Provider Name: THOMAS JOHNSON SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 21D1080993

Address:
197 THOMAS JOHNSON DR
FREDERICK, MD
ZIP 21702
Phone: (301) 631-3881
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THOMAS JOHNSON SURGERY CENTER, LLC is an ambulatory surgical clinic center in Frederick, MD. THOMAS JOHNSON SURGERY CENTER, LLC NPI is 1679757959. The provider is registered as an organization entity type.

The provider's business location address is:

197 THOMAS JOHNSON DR
FREDERICK, MD
ZIP 21702-314
Phone: (301) 631-3881
Fax: (301) 631-3883

The provider's authorized official is Ravi Yalamanchili .
The authorized official title is President and has the following contact phone number (301) 846-0100.

The CLIA number assigned to this NPI record is 21D1080993 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/23/2007 and was last updated on 3/3/2009.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	A1465	MARYLAND	Yes

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: 4/28/2024

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