CARROLL COUNTY EYE SURGERY CENTER, LLC (NPI# 1255390670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255390670 |
| Entity Type | Organization |
| Organization Name | CARROLL COUNTY EYE SURGERY CENTER, LLC |
| Practice Address |
410 Malcolm Dr Suite B Westminster MD 21157-6160 |
| Practice Telephone | 4108713438 |
| Practice Fax Number | 4108713428 |
| Mailing Telephone | 4108713438 |
| Mailing Fax Number | 4108713428 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | MRS. ANGELA ROBINSON (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4108713438 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
A1394 | MD | Ambulatory Health Care Facilities |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A1394 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 405915800 | 05 | |
| MD | BLUE CROSS BLUE SHIELD MD | 64189501 | 01 |
| Street Address |
410 MALCOLM DR SUITE B |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-6160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203245 | Scott D. Jerome | Internal Medicine | 410 Malcolm Dr, Ste A, Westminster, MD 21157-6160 | 2005-05-31 |
| 1114196151 | Summit Ambulatory Surgical Center LLC | Clinic/Center | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2008-02-25 |
| 1306021076 | Jordan Elliot Angell | Urology | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2007-12-31 |
| 1609880558 | Genine Consagra | Family Medicine | 410 Malcolm Dr, Suite C, Westminster, MD 21157 | 2006-07-28 |
| 1164479507 | Brian M. Levin | Urology | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2006-05-30 |
| 1194786186 | Mary Beth Lennox Mendoza | Physician Assistant | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2006-03-29 |
| 1710955133 | Reynaldo P Madrinan | Urology | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2006-03-10 |
| 1336113893 | Keith J Oreilly | Urology | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012104 | Westminster Tower Surgery Center LLC | Clinic/Center | 8341 Westminster Blvd Ste 201b, Westminster, CA 92683-8339 | 2020-08-03 |
| 1043636038 | Orange County Surgery Center, A Medical Corporation | Clinic/Center | 8070 Westminster Blvd, Suite C, Westminster, CA 92683-3303 | 2014-03-14 |
| 1275883514 | Hospital Circle Surgery Center | Clinic/Center | 210 Hospital Cir Ste D, Westminster, CA 92683-3900 | 2012-09-13 |
| 1013194695 | Jacqueline G. Hancock, Crna, Pa | Clinic/Center | 686 B Poole Road, Westminster, MARYLAND 21157 | 2008-01-26 |
| 1104020338 | Radiance Outpatient Surgery Centre | Clinic/Center | 9842 Bolsa Ave # 200-a, Westminster, CA 92683-6680 | 2007-06-12 |
| 1417028150 | Westminster Surgery Center Inc. | Clinic/Center | 8331 Westminster Blvd, Westminster, CA 92683-3398 | 2006-11-13 |
| 1962500454 | Bolsa Outpatient Surgery Center A Medical Corporation | Clinic/Center | 10362 Bolsa Ave Ste 100, Westminster, CA 92683-6763 | 2006-09-20 |
| 1538159397 | Magnolia Surgery Center Limited Partnership | Clinic/Center | 14571 Magnolia St, Suite 107, Westminster, CA 92683-5575 | 2005-10-24 |
| 1851399646 | Northwest Regional Asc, LLC | Clinic/Center | 10170 Church Ranch Way, Ste 110, Westminster, CO 80021-6058 | 2005-07-14 |
| 1790143840 | Noble Care Multi-specialty Surgery & Medical Center, Inc | Clinic/Center | 9842 Bolsa Ave Ste 200, Westminster, CA 92683-6685 | 2016-02-03 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
Please comment or provide details below to improve the information on CARROLL COUNTY EYE SURGERY CENTER, 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.