KENT ISLAND SURGERY CENTER LLC (NPI# 1033524855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033524855 |
| Entity Type | Organization |
| Organization Name | KENT ISLAND SURGERY CENTER LLC |
| Practice Address |
1630 Main St Suite 215a Chester MD 21619-2791 |
| Mailing Address |
2661 Riva Rd Building 100 Suite 115 Annapolis MD 21401-7353 |
| Practice Telephone | 4105719000 |
| Practice Fax Number | 4105711670 |
| Mailing Telephone | 4434585132 |
| Mailing Fax Number | 4432217622 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | DR. BRIAN S KAHAN (MEMBER) |
| Authorized Official Telephone | 4105719000 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
1630 MAIN ST SUITE 215A |
| City | CHESTER |
| State | MD |
| Zip Code | 21619-2791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649248691 | Cynthia W Huffaker | Internal Medicine | 1630 Main St, Suite 101, Chester, MD 21619-2791 | 2006-03-08 |
| 1093344244 | Robyn N Lanasa | Registered Nurse | 1630 Main St, Chester, MD 21619-2791 | 2020-04-08 |
| 1346710399 | Ashley Good | Physical Therapist | 1630 Main St, Chester, MD 21619 | 2018-12-03 |
| 1831573807 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 1630 Main St, Suite 108, Chester, MD 21619 | 2015-07-19 |
| 1073902888 | Anne Arundel Physician Group, LLC | Psychiatry & Neurology | 1630 Main St, Chester, MD 21619-2791 | 2015-01-16 |
| 1780005249 | Anne Arundel Physician Group, LLC | Emergency Medicine | 1630 Main St, Chester, MD 21619-2791 | 2013-12-30 |
| 1134540693 | Anne Arundel Physician Group, LLC | Family Medicine | 1630 Main St, Chester, MD 21619-2791 | 2013-12-30 |
| 1831463298 | Anne Arundel Physician Group, LLC | Family Medicine | 1630 Main St, Chester, MD 21619-2791 | 2012-03-02 |
| 1487951802 | Cardiology Associates, LLC | Specialist | 1630 Main St, Suite 208, Chester, MD 21619-2791 | 2011-02-21 |
| 1942528591 | Anne Arundel Physician Group, LLC | Surgery | 1630 Main St, Chester, MD 21619-2791 | 2010-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407359532 | Queen Anne's Medical Center, LLC | Internal Medicine | 2108 Rear Didonato Drive, Chester, MD 21619 | 2018-03-15 |
| 1700326410 | Erika Waynik | Nurse Practitioner | 115 South Piney Road, Minuteclinic, Chester, MD 21619 | 2017-02-28 |
| 1780923425 | Sabitri Baker | Specialist | 210 Country Day Rd, Chester, MD 21619 | 2013-01-31 |
| 1487986287 | Richard Davis Brown | Family Medicine | 128 Kirwans Landing Ln, Chester, MD 21619 | 2010-02-03 |
| 1225299837 | Kent Island Chiropractic and Rehabilitation | Clinic/Center | 1812 Main St., Suite C, Chester, MD 21619 | 2008-06-17 |
| 1407048283 | Brian Johnson Olmstead | Dentist | 1547 Rainbow Plaza, Chester, MD 21619 | 2007-08-15 |
| 1972721165 | John A Benkovich IIi | Dentist | 800 Abruzzi Drive Unit F, Chester, MD 21619 | 2007-04-23 |
| 1457400798 | James Charles Pochron | Dentist | 116 South Piney Rd #202, Chester, MD 21619 | 2007-01-09 |
| 1578628608 | Kent Drug Inc | Pharmacy | 1723 Main St, Chester, MD 21619 | 2006-12-27 |
| 1750304275 | Lisa Rene' Jackson-cherry | Counselor | 1114 Didinato Dr, Chester Regional Medical Center, Chester, MD 21619 | 2006-07-25 |
| Find all providers in zip 21619 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
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| 1285196295 | Xpress Medical Specialties, LLC | Clinic/Center | 12200 Annapolis Rd Ste 225, Glenn Dale, MD 20769-9182 | 2019-04-01 |
| 1710453808 | Young Ji Acupuncture Clinic | Clinic/Center | 3459 Saint Johns Ln Ste 9, Ellicott City, MD 21042-4026 | 2018-10-16 |
| 1447755178 | Legacy Spine and Pain, LLC | Clinic/Center | 10421 Motor City Dr # 342430, Bethesda, MD 20817-9996 | 2018-03-26 |
| 1164775979 | Potomac Healthcare Alliance | Clinic/Center | 198 Thomas Johnson Dr Ste 5, Frederick, MD 21702-4449 | 2012-10-17 |
| 1194018085 | Healthy Life Medical Group, Inc | Clinic/Center | 9607 Reisterstown Rd, Owings Mills, MD 21117-4129 | 2011-05-25 |
| 1881917383 | Workwell Physicals Inc | Clinic/Center | 7711 Garrison Rd, Hyattsville, MD 20784-1756 | 2010-03-11 |
| 1548582877 | Alt. Medicine Inc. | Clinic/Center | 3201 Corporate Ct Fl 1, Ellicott City, MD 21042-2247 | 2010-03-01 |
| 1174853626 | Carlos S. Santiago IIi, Mdpc | Clinic/Center | 924 Seton Dr Ste 1, Cumberland, MD 21502-1851 | 2010-01-06 |
| 1295983997 | Qol Pain Management LLC. | Clinic/Center | 3102 N Hilton St, Baltimore, MD 21216-1450 | 2008-09-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.