UNIVERSAL SURGICAL CENTER (NPI# 1730153974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730153974 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL SURGICAL CENTER |
| Practice Address |
4713 Leeds Ave Baltimore MD 21227 |
| Practice Telephone | 4102474741 |
| Practice Fax Number | 4102472346 |
| Mailing Telephone | 4102474741 |
| Mailing Fax Number | 4102472346 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2008-02-21 |
| Authorized Official Name | TOBIAS EDWARD JONES (FACILITY ADMINISTRATOR) |
| Authorized Official Telephone | 4102474741 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A1329 | MD | Ambulatory Health Care Facilities |
| Street Address |
4713 LEEDS AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316226020 | Supreme Surgical Associates Inc | Specialist | 4713 Leeds Ave, Baltimore, MD 21227-1402 | 2011-08-11 |
| 1700075686 | Efem Imoke, M.d., P.a. | Specialist | 4713 Leeds Ave, Baltimore, MD 21227-1402 | 2007-10-17 |
| 1275552457 | C and S Medical Associates | Specialist | 4713 Leeds Ave, Baltimore, MD 21227-1402 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622024 | Kim Conaway | Counselor | Regenerations Counseling Services, 1421 S. Canton Street, Baltimore, MD 21227 | 2019-04-30 |
| 1861974891 | Joan Lynn Indilisano | Occupational Therapist | 3320 Benson Avenue, Baltimore, MD 21227 | 2018-09-06 |
| 1821593161 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 | 2018-03-28 |
| 1447779699 | Aja Williams | Registered Nurse | 3902 Annapolis Rd., Halethorpe, MD 21227 | 2017-09-19 |
| 1588190748 | Mentor-maryland | Community/Behavioral Health | 1540 Caton Center Drive, Halethorpe, MD 21227 | 2017-05-10 |
| 1083084180 | Institute for Family Centered Services | Community/Behavioral Health | 1540 Caton Centered Drive, Suite F, Baltimore, MD 21227 | 2015-10-01 |
| 1174913677 | Wye Oak Clinic, Inc. | Marriage & Family Therapist | 1937 Lansdowne Rd, Halethorpe, MD 21227 | 2015-02-04 |
| 1588938237 | Ahmein Watson | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227 | 2012-02-28 |
| 1336442656 | Norah Orise Osian | Pharmacist | Rite Aid Pharmacy, 1400 Sulphur Spring Rd, Baltimore, MD 21227 | 2010-12-08 |
| 1366759623 | Een J Lee | Pharmacist | 1400 Sulphurspring Rd, Baltimore, MD 21227 | 2010-09-08 |
| Find all providers in zip 21227 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1366008179 | Baltimore Acupuncture LLC | Clinic/Center | 1501 Sulgrave Ave Ste 310, Baltimore, MD 21209-3654 | 2019-05-16 |
| 1053875815 | Anova Infusion | Clinic/Center | 111 S Calvert St Ste 2700, Baltimore, MD 21202-6143 | 2019-01-25 |
| 1891262135 | Emerge Baltimore Inc. | Clinic/Center | 1803 Pennsylvania Ave, Baltimore, MD 21217-3235 | 2018-10-24 |
| 1992271902 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 8114 Sandpiper Cir Ste 114, Baltimore, MD 21236-5901 | 2018-10-17 |
| 1831671684 | Farrell & Associates | Clinic/Center | 4201 Harcourt Rd, Baltimore, MD 21214-3409 | 2018-08-29 |
| 1023502838 | Pikesville Pediatrics, LLC | Clinic/Center | 19 Walker Ave Ste 304, Baltimore, MD 21208-4067 | 2018-06-15 |
| 1740798412 | Victory Medical Center | Clinic/Center | 1101 N Point Blvd Ste 110, Baltimore, MD 21224-3417 | 2018-01-17 |
| 1730612235 | Concerted Care Group Brooklyn | Clinic/Center | 112 E Patapsco Ave, Baltimore, MD 21225-1745 | 2017-04-11 |
| 1659538437 | Powell Recovery Institute | Clinic/Center | 16 S Broadway, Baltimore, MD 21231-1712 | 2008-05-20 |
| Find all providers in BALTIMORE | ||||
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| 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.