PATUXENT SURGICAL SERVICES, LLC


Address: 211 E Lombard St # 122, Baltimore, MD 21202-6102
Phone: 5205474130

PATUXENT SURGICAL SERVICES, LLC (NPI# 1619274859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619274859
Entity Type Organization
Organization Name PATUXENT SURGICAL SERVICES, LLC
Practice Address 211 E Lombard St # 122
Baltimore
MD 21202-6102
Mailing Address 6339 E. Speedway Blvd
Suite 201
Tucson
AZ 85710-1147
Practice Telephone 5205474130
Practice Fax Number 5202580304
Mailing Telephone 5203238732
Mailing Fax Number 5202580304
Enumeration Date 2011-02-24
Last Update Date 2015-12-21
Authorized Official Name LACEY DINH (REVENUE CYCLE MANAGER OF ABS)
Authorized Official Telephone 5202580326
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 211 E LOMBARD ST # 122
City BALTIMORE
State MD
Zip Code 21202-6102

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1750940185 Katherine Wachter Mullins Social Worker 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 2019-06-10
1720647175 Ivelysse Claudio Cortes Speech-Language Pathologist Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 2019-06-10
1497314157 Debera Marie Reznitsky Speech-Language Pathologist 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 2019-06-06
1154989952 Zirka Oksanna Hanas Speech-Language Pathologist 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 2019-06-05
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1962714154 Surgcenter of White Marsh, LLC Clinic/Center 11605 Crossroads Cir, Baltimore, MD 21220-2865 2010-07-05
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1033141825 Greenspring Surgery Center LLC Clinic/Center 2700 Quarry Lakes Dr., Suite 100, Baltimore, MD 21209 2006-07-06
1023055001 Zion Ambulatory Center LLC Clinic/Center 9106 Philadelphia Rd Ste 108, Baltimore, MD 21237-4335 2006-05-31
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1932732773 Clarkview Surgery Center LLC Clinic/Center 1427 Clarkview Rd Ste 300, Baltimore, MD 21209-2100 2020-02-20
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Competitor

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City BALTIMORE
Zip Code 21202

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Dataset Information

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.

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