UNIVERSITY OF MARYLAND SHORE SURGERY CENTER AT QUEENSTOWN, LLC (NPI# 1174942635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174942635 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MARYLAND SHORE SURGERY CENTER AT QUEENSTOWN, LLC |
| Practice Address |
125 Shoreway Dr Queenstown MD 21658-1680 |
| Mailing Address |
219 S Washington St Easton MD 21601-2913 |
| Practice Telephone | 4108221000 |
| Mailing Telephone | 4108221000 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |
| Authorized Official Name | KENNETH D KOZEL (PRESIDENT/CEO) |
| Authorized Official Telephone | 4108221000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
125 SHOREWAY DR |
| City | QUEENSTOWN |
| State | MD |
| Zip Code | 21658-1680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618755 | Elizabeth Louise Schilling | Nurse Practitioner | 125 Shoreway Dr, Suite 120, Queenstown, MD 21658-1680 | 2005-06-09 |
| 1417433285 | Jean Elizabeth Jauregui | Nurse Practitioner | 125 Shoreway Dr, Queenstown, MD 21658-1680 | 2018-07-16 |
| 1225554603 | Mary Schmitt King | Dietitian, Registered | 125 Shoreway Dr, Queenstown, MD 21658-1680 | 2017-08-17 |
| 1801242227 | Shore Orthopedics, Inc | Durable Medical Equipment & Medical Supplies | 125 Shoreway Dr, Suite 270, Queenstown, MD 21658-1680 | 2016-05-05 |
| 1205290541 | Shore Orthopedics, Inc | Durable Medical Equipment & Medical Supplies | 125 Shoreway Dr, Suite 270, Queenstown, MD 21658-1680 | 2016-04-13 |
| 1871844803 | Delmarva Orthopaedic Clinic, P.a. | Durable Medical Equipment & Medical Supplies | 125 Shoreway Dr, Suite 270, Queenstown, MD 21658-1680 | 2012-10-01 |
| 1699025072 | Delmarva Orthopaedic Clinic, P.a. | Physical Medicine & Rehabilitation | 125 Shoreway Dr, Queenstown, MD 21658-1680 | 2012-09-13 |
| 1053685057 | Shore Health System Sleep Center | Clinic/Center | 125 Shoreway Dr, Queenstown, MD 21658-1680 | 2012-03-08 |
| 1518959261 | Clare A. Ross | Nurse Practitioner | 125 Shoreway Dr, Suite 120, Queenstown, MD 21658-1666 | 2005-08-18 |
| 1336140748 | Daniel Jay Konick | Internal Medicine | 125 Shoreway Dr, Suite 120, Queenstown, MD 21658-1666 | 2005-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396306916 | Andrea Lynn Shafer | Nurse Practitioner | Maryland Primary Care Physicians 125 Shoreway Dr, Ste 120, Queenstown, MD 21658 | 2019-06-25 |
| 1710206321 | Daniel Lamphier | Family Medicine | 125 Shoreway Dr Ste 120, Queenstown, MD 21658 | 2010-05-21 |
| 1881757052 | Queenstown Volunteer Fire Company | Ambulance | 7110 Main St., Queenstown, MD 21658 | 2006-12-19 |
| 1457459216 | Kathleen Stephanie Van Fossen | Social Worker | 206 Del Rhodes, Ste 203, Queenstown, MD 21658 | 2006-09-20 |
| 1548771249 | Shore Health System, Inc | Clinic/Center | 125 Shoreway Drive, Suite 130, Queenstown, MD 21658 | 2017-10-20 |
| 1730440165 | Bethany Lynn Berger | Nurse Practitioner | 125 Shoreway Drive, Suite 120, Queenstown, MD 21658 | 2012-06-01 |
| 1265579353 | Queenstown Volunteer Fire | Ambulance | 7110 Main St., Queenstown, MD 21658 | 2007-01-30 |
| 1619075496 | Sallie Miller | Social Worker | 206 Del Rhodes, Suite 203, Queenstown, MD 21658 | 2006-09-20 |
| 1568581957 | Nicole Williams | Speech-Language Pathologist | 6923 Main St, Queenstown, MD 21658-1219 | 2007-03-28 |
| 1437123999 | Justin Scott Marlett | Specialist | 223 Melvin Ave, Queenstown, MD 21658-1237 | 2006-02-13 |
| Find all providers in zip 21658 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1215548524 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 800 Bestgate Rd Ste 200, Annapolis, MD 21401-3016 | 2020-08-11 |
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| 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 | QUEENSTOWN |
| Zip Code | 21658 |
Please comment or provide details below to improve the information on UNIVERSITY OF MARYLAND SHORE SURGERY CENTER AT QUEENSTOWN, LLC.
| 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.