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CAPITAL AREA SURGERY CENTER LLC NPI 1871529180


NPI Information

NPI: 1871529180
Provider Name: CAPITAL AREA SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
141 THOMAS JOHNSON DR STE 190
FREDERICK, MD
ZIP 21702
Phone: (301) 668-4403
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CAPITAL AREA SURGERY CENTER, LLC is an ambulatory surgical clinic center in Frederick, MD. CAPITAL AREA SURGERY CENTER, LLC NPI is 1871529180. The provider is registered as an organization entity type.

The provider's business location address is:

141 THOMAS JOHNSON DR STE 190
FREDERICK, MD
ZIP 21702-509
Phone: (301) 668-4403
Fax: (301) 668-4406

The provider's authorized official is Mruthyunjaya Gonchigar .
The authorized official title is Partner and has the following contact phone number (301) 668-4403.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 12/11/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalA1349MARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16904006001MEDICAIDWEST VIRGINIA
2764ZMEDICARE 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: 4/28/2024

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