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WESTERN MARYLAND EYE SURGICAL CENTERPHILIP MCGANN M.D. PA NPI 1902991979


NPI Information

NPI: 1902991979
Provider Name: WESTERN MARYLAND EYE SURGICAL CENTER,PHILIP MCGANN, M.D., PA
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

CLIA Number: 21D2039744

Address:
1003 W 7TH ST
SUITE 400
FREDERICK, MD
ZIP 21701
Phone: (301) 662-3721
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WESTERN MARYLAND EYE SURGICAL CENTER,PHILIP MCGANN, M.D., PA is an ophthalmologic surgery clinic center in Frederick, MD. WESTERN MARYLAND EYE SURGICAL CENTER,PHILIP MCGANN, M.D., PA NPI is 1902991979. The provider is registered as an organization entity type.

The provider's business location address is:

1003 W 7TH ST
SUITE 400
FREDERICK, MD
ZIP 21701-106
Phone: (301) 662-3721
Fax: (301) 698-8164

The provider's authorized official is Philip John Mcgann .
The authorized official title is Medical Director and has the following contact phone number (301) 662-3721.

The CLIA number assigned to this NPI record is 21D2039744 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 3/6/2012.


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
1261QS0132XClinic/CenterOphthalmologic SurgeryD00029921MARYLANDYes

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
1490002275MEDICARE PINMARYLAND
2320281000MEDICAIDMARYLAND
3ZZ38MEDICARE 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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