MARYLAND SURGEONS CENTER OF COLUMBIA (NPI# 1104851088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104851088 |
| Entity Type | Organization |
| Organization Name | MARYLAND SURGEONS CENTER OF COLUMBIA |
| Practice Address |
11055 Little Patuxent Pky Suite L-6 Columbia MD 21044 |
| Mailing Address |
P.o. Box 156 Libertytown MD 21762 |
| Practice Telephone | 4107309775 |
| Practice Fax Number | 4107309777 |
| Mailing Telephone | 3018980046 |
| Mailing Fax Number | 3018980049 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-12-17 |
| Authorized Official Name | DR. KEITH D FALCAO (PRESIDENT) |
| Authorized Official Telephone | 4107190090 |
| Authorized Official Credential | M.D. |
| 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 | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A1463 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 414614000 | 05 |
| Street Address |
11055 LITTLE PATUXENT PKY SUITE L-6 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093814469 | Rajendra Desai Dds Pa | Dentist | 11055 Little Patuxent Pky, Suite 207, Columbia, MD 21044 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871052712 | Kuresmart Pain Management Surgery Center-columbia LLC | Clinic/Center | 5500 Knoll North Dr Ste 501, Columbia, MD 21045-2370 | 2019-03-19 |
| 1720514359 | Johns Hopkins Surgery Centers Series | Clinic/Center | 5450 Knoll North Dr Ste 301, Columbia, MD 21045-2373 | 2017-05-02 |
| 1760860977 | Mid Missouri Surgery Center, LLC | Clinic/Center | 1410 Forum Katy Parkway, Suite 102, Columbia, MO 65203 | 2015-05-08 |
| 1457779399 | Csa Surgical Center LLC | Clinic/Center | 3220 Bluff Creek Dr Ste 104, Columbia, MO 65201-3664 | 2014-03-28 |
| 1780998633 | Parkridge Surgery Center LLC | Clinic/Center | 190 Parkridge Dr Ste 108, Columbia, SC 29212-1748 | 2010-08-03 |
| 1831360247 | Surgical Center At Columbia Orthopaedic Group LLC | Clinic/Center | 1 South Keene, Columbia, MO 65201-6645 | 2008-03-13 |
| 1649393695 | Columbia Md Orthopaedic Asc, LLC | Clinic/Center | 10700 Charter Dr #301, Columbia, MD 21044-4000 | 2007-04-06 |
| 1568510196 | Columbia Surgery Center Inc | Clinic/Center | 338 Harbison Blvd, Columbia, SC 29212-2248 | 2007-01-08 |
| 1801827993 | South Carolina Endoscopy Center - Northeast | Clinic/Center | 11 Gateway Corners Park, Columbia, SC 29203-8902 | 2006-07-06 |
| 1881620466 | Midlands Orthopaedics Surgery Center, LLC | Clinic/Center | 1930 Blanding St, Columbia, SC 29201-3520 | 2006-06-24 |
| Find all providers in COLUMBIA | ||||
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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.