MARYLAND SPINE AND SPORTS SURGI-CENTER, L.L.C. (NPI# 1154623452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154623452 |
| Entity Type | Organization |
| Organization Name | MARYLAND SPINE AND SPORTS SURGI-CENTER, L.L.C. |
| Practice Address |
5005 Signal Bell Ln Suite 207 Clarksville MD 21029-2606 |
| Practice Telephone | 4435359900 |
| Practice Fax Number | 4435359901 |
| Mailing Telephone | 4435359900 |
| Mailing Fax Number | 4435359901 |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2011-12-28 |
| Authorized Official Name | DR. CLARK R BRILL (DIRECTOR) |
| Authorized Official Telephone | 4435359900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A1518 | MD | Ambulatory Health Care Facilities |
| Street Address |
5005 SIGNAL BELL LN SUITE 207 |
| City | CLARKSVILLE |
| State | MD |
| Zip Code | 21029-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508831223 | Aaron Raymond Twigg | Physical Medicine & Rehabilitation | 5005 Signal Bell Ln, Suite 208, Clarksville, MD 21029-2606 | 2006-02-17 |
| 1841662822 | Roy Bechtel | Physical Therapist | 5005 Signal Bell Ln, Suite 202, Clarksville, MD 21029-2606 | 2015-10-29 |
| 1003136086 | Joel Howard Freedenberg | Dentist | 5005 Signal Bell Ln, #101, Clarksville, MD 21029-2606 | 2010-06-02 |
| 1558540161 | Prime Md LLC | Community Based Residential Treatment Facility, Mental Illness | 5005 Signal Bell Ln, Suite 202, Clarksville, MD 21029-2606 | 2007-10-31 |
| 1821063165 | John Patrick Collins | Physical Medicine & Rehabilitation | 5005 Signal Bell Ln, Suite 208, Clarksville, MD 21029-2606 | 2006-02-21 |
| 1861467482 | Clark Robert Brill | Physical Medicine & Rehabilitation | 5005 Signal Bell Ln, Suite 208, Clarksville, MD 21029-2606 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710436407 | Central Maryland Oral and Facial Surgical Arts of Clarksville, LLC | Dentist | 12431 Clarksville Pike, Route 108, Clarksville, MD 21029 | 2016-09-23 |
| 1740647262 | Darren Joseph | Physical Therapist | 6151 Daylong Lane, Clarksville, MD 21029 | 2016-01-28 |
| 1619302437 | Ashley Kneale | Physical Therapist | 6408 Silent Moon Run, Clarksville, MD 21029 | 2013-09-11 |
| 1780949693 | Jane Choi Council | Optometrist | 12345 Wake Forest Rd Ste E, Clarksville, MD 21029 | 2012-07-06 |
| 1598035248 | Jeffrey Stuart Abrams | Internal Medicine | 5073ten Oaks Rd, Clarksville, MD 21029 | 2012-01-11 |
| 1902102528 | Claudia Joe Salter | Psychologist | 6100 Daylong Ln Ste 103, Clarksville, MD 21029 | 2011-01-28 |
| 1285892430 | Mary Carol Wayda | Social Worker | 5905 Tall Branches Pass, Clarksville, MD 21029 | 2008-05-23 |
| 1407978422 | Basil Saiedy Dds LLC | Dentist | 6100 Day Long Lane, Suite 101, Clarksville, MD 21029 | 2007-04-03 |
| 1629329214 | Dina Michele Singer | Acupuncturist | 12451 Clarksville Pike, Clarksville, MD 21029 | 2012-09-24 |
| 1689796609 | Basil Saiedy | Dentist | 6100 Day Long Lane, Suite 101, Clarksville, MD 21029 | 2007-04-03 |
| Find all providers in zip 21029 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376514703 | Surgery Center of Clarksville Lp | Clinic/Center | 121 Hillcrest Dr, Clarksville, TN 37043-5093 | 2006-02-01 |
| 1629458427 | Clarksville Surgicenter, LLC | Clinic/Center | 121 Hillcrest Dr, Clarksville, TN 37043-5088 | 2015-06-05 |
| 1841254695 | Columbia Foot and Ankle Ambulatory Surgical Center, LLC | Clinic/Center | 6100 Daylong Ln, Suite 102, Clarksville, MD 21029-1626 | 2006-04-17 |
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|---|---|---|---|---|
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| 1518570084 | Eastside Anesthesia LLC | Clinic/Center | 19 Fontana Ln Ste 104, Rosedale, MD 21237-3027 | 2020-08-25 |
| 1215548524 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 800 Bestgate Rd Ste 200, Annapolis, MD 21401-3016 | 2020-08-11 |
| 1861001372 | Bay Surgery Centers LLC | Clinic/Center | 810 Bestgate Rd Ste 120, Annapolis, MD 21401-3033 | 2020-07-30 |
| 1417566217 | Clearway Surgery Center of Easton, LLC | Clinic/Center | 598 Cynwood Dr Ste 103, Easton, MD 21601-3875 | 2020-07-28 |
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1528680865 | Meridian Surgery Center LLC | Clinic/Center | 19638 Leitersburg Pike Ste 205, Hagerstown, MD 21742-1515 | 2020-05-09 |
| 1346862869 | Nspc Surgery Center of Maryland, LLC | Clinic/Center | 6710 Oxon Hill Rd Ste 550b, Oxon Hill, MD 20745-1117 | 2020-05-07 |
| 1225665292 | Annapolis Endoscopy Center LLC | Clinic/Center | 1419 Forest Dr Ste 105, Annapolis, MD 21403-1474 | 2020-03-26 |
| 1992345748 | Podiatry Associates Ambulatory Surgical Centers LLC | Clinic/Center | 9105 Franklin Square Dr Ste 206, Baltimore, MD 21237-3954 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 21029 |
Please comment or provide details below to improve the information on MARYLAND SPINE AND SPORTS SURGI-CENTER, L.L.C..
| 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.