MASON DIXON SURGERY CENTER LLC (NPI# 1386011963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386011963 |
| Entity Type | Organization |
| Organization Name | MASON DIXON SURGERY CENTER LLC |
| Practice Address |
10212 Governor Lane Blvd Williamsport MD 21795-4086 |
| Practice Telephone | 3017334200 |
| Practice Fax Number | 3012237121 |
| Mailing Telephone | 3017334200 |
| Mailing Fax Number | 3012237121 |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2015-08-30 |
| Authorized Official Name | DAVID J LUDWICK (OWNER) |
| Authorized Official Telephone | 7172629711 |
| Authorized Official Credential | MD |
| 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 |
10212 GOVERNOR LANE BLVD |
| City | WILLIAMSPORT |
| State | MD |
| Zip Code | 21795-4086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659313831 | Lisa Trevan | Anesthesiology | 10212 Governor Lane Blvd, Suite1004, Williamsport, MD 21795-4086 | 2006-06-12 |
| 1912351933 | Windbrook Anesthesia LLC | Anesthesiology | 10212 Governor Lane Blvd, Suite 1004, Williamsport, MD 21795-4086 | 2016-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736088 | Cynthia L Campbell | Nurse Anesthetist, Certified Registered | 10212 Governor Lane Blvd Unit 1004, Williamsport, MD 21795 | 2005-11-02 |
| 1417375692 | Jamie Clare Worsley | Family Medicine | 16605 Kendle Rd, Williamsport, MD 21795 | 2014-04-03 |
| 1548456460 | Judith Ann Christner | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795 | 2007-09-25 |
| 1366530057 | Penbec Inc | Pharmacy | 34 N Conococheague St, Williamsport, MD 21795-1004 | 2006-10-10 |
| 1386717544 | Shannon Leigh Mellott | Occupational Therapy Assistant | 154 N Artizan St, Williamsport, MD 21795-1104 | 2006-11-16 |
| 1023586856 | Brianna Rachelle Dorsey | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-11-09 |
| 1134697311 | Megan Dmuchowski | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-11-06 |
| 1427557800 | Flagship Rehabilitation, Inc | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-02-12 |
| 1154838811 | Jamie Auxt Mcelwee | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-01-03 |
| 1346757275 | Christopher George Nyack | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2017-12-31 |
| Find all providers in zip 21795 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225500770 | Upmc Williamsport | Clinic/Center | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2018-12-21 |
| 1447775770 | Ludwick Laser & Surgery Center, LLC | Clinic/Center | 10212 Governor Lane Blvd Unit 1004, Williamsport, MD 21795-4088 | 2017-08-08 |
| 1194930925 | Williamsport Surgery Center,llc | Clinic/Center | 920 Washington Blvd, Williamsport, PA 17701-3632 | 2007-05-14 |
| 1447394523 | Ecker Plastic Surgery Assoc Inc | Clinic/Center | 920 Washington Blvd, Williamsport, PA 17701 | 2007-02-20 |
| 1285719559 | Upmc Williamsport | Clinic/Center | 700 High Street, Williamsport, PA 17701-3198 | 2006-10-26 |
| 1285718312 | Divine Providence Hospital of The Sisters of Christian Charity | Clinic/Center | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2006-10-25 |
| 1104851849 | Divine Providence Hospital of The Sisters of Christian Charity | Clinic/Center | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807961 | Vascular Surgery Center of Abingdon | Clinic/Center | 3435 Box Hill Corporate Center Dr Ste H, Abingdon, MD 21009-1204 | 2020-10-02 |
| 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 | WILLIAMSPORT |
| Zip Code | 21795 |
Please comment or provide details below to improve the information on MASON DIXON 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.