SURGCENTER OF WHITE MARSH, LLC


Address: 11605 Crossroads Cir, Baltimore, MD 21220-2865
Phone: 4103440003

SURGCENTER OF WHITE MARSH, LLC (NPI# 1962714154) 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) 1962714154
Entity Type Organization
Organization Name SURGCENTER OF WHITE MARSH, LLC
Practice Address 11605 Crossroads Cir
Baltimore
MD 21220-2865
Mailing Address 11605 Crossroads Cir Ste A
Baltimore
MD 21220-2865
Practice Telephone 4103440003
Practice Fax Number 4103441330
Mailing Telephone 4103440003
Mailing Fax Number 4103441330
Enumeration Date 2010-07-05
Last Update Date 2019-09-18
Authorized Official Name DR. DAVID LUMSDEN (CEO)
Authorized Official Telephone 4105744720
Authorized Official Credential MD
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 11605 CROSSROADS CIR
City BALTIMORE
State MD
Zip Code 21220-2865

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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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1619274859 Patuxent Surgical Services, LLC Clinic/Center 211 E Lombard St # 122, Baltimore, MD 21202-6102 2011-02-24
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1023055001 Zion Ambulatory Center LLC Clinic/Center 9106 Philadelphia Rd Ste 108, Baltimore, MD 21237-4335 2006-05-31
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Competitor

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City BALTIMORE
Zip Code 21220

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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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