GLEN BURNIE MD ENDOSCOPY ASC LLC (NPI# 1205013273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205013273 |
| Entity Type | Organization |
| Organization Name | GLEN BURNIE MD ENDOSCOPY ASC LLC |
| Other Organization Name | ENDOCENTRE AT QUARTERFIELD STATION |
| Practice Address |
7704 Quarterfield Rd Ste A Glen Burnie MD 21061-4412 |
| Mailing Address |
1a Burton Hills Blvd Attn: L&c Nashville TN 37215-6103 |
| Practice Telephone | 4108634899 |
| Practice Fax Number | 4108634895 |
| Mailing Telephone | 6156651283 |
| Mailing Fax Number | 6152341720 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2018-09-21 |
| Authorized Official Name | MR. PHILLIP CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| 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 |
| Other Name | Type Code |
|---|---|
| EndoCentre at Quarterfield Station | Doing Business As Name - Organization |
| Street Address |
7704 QUARTERFIELD RD STE A |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699138230 | Ryan Bernardino | Clinic/Center | 8111 Hickory Hollow Dr, Glen Burnie, MD 21060-8639 | 2016-03-31 |
| 1750612446 | Bay Surgery Centers - Glen Burnie | Clinic/Center | 7671 Quarterfield Rd Ste 301b, Glen Burnie, MD 21061-4525 | 2010-01-20 |
| 1194999359 | Jeffrey L Bober Dpm Pa | Clinic/Center | 12 Crain Highway, Glen Burnie, MD 21061-3526 | 2008-04-18 |
| 1942472931 | Surgcenter of Glen Burnie | Clinic/Center | 308 Hospital Dr, Ste 102, Glen Burnie, MD 21061 | 2008-03-31 |
| 1972730729 | Arundel Foot & Ankle Surgery Center, LLC | Clinic/Center | 1412 Crain Hwy N, Ste 1a, Glen Burnie, MD 21061-9306 | 2009-06-19 |
| 1023266145 | Asc Development Company, LLC | Clinic/Center | 1600 Crain Hwy S, Suite 301, Glen Burnie, MD 21061-5577 | 2008-09-03 |
| 1184811168 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 7704 Quarterfield Rd, Suite 3c, Glen Burnie, MD 21061-4412 | 2007-10-03 |
| 1245263136 | Maryland Urology Surgicenters, LLC | Clinic/Center | 7704 Quarterfield Rd, Suite C, Glen Burnie, MD 21061-4412 | 2006-07-07 |
| 1801847850 | Maryland Plastic Surgery, LLC | Clinic/Center | 7704 Quarterfield Rd, Suite E, Glen Burnie, MD 21061-4412 | 2006-05-15 |
| 1700881539 | Arturo Betancourt, Md, Pa | Clinic/Center | 200 Hospital Dr, Ste 600, Glen Burnie, MD 21061-5865 | 2005-06-17 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on GLEN BURNIE MD ENDOSCOPY ASC 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.