SUMMIT AMBULATORY SURGICAL CENTER, LLC NPI 1003004482

Clinic/Center (Ambulatory Surgical) in Towson, MD

About SUMMIT AMBULATORY SURGICAL CENTER, LLC

Summit Ambulatory Surgical Center, Llc is a provider in Towson, MD. The NPI number assigned to this provider is 1003004482. The practitioner's primary taxonomy code is Clinic/Center (261QA1903X). The provider is registered as an organization and their NPI record was last updated 6 years ago.

NPI1003004482 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameSUMMIT AMBULATORY SURGICAL CENTER, LLC
Provider Location Address120 SISTER PIERRE DR SUITE 102 TOWSON, MD 21204 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address25 CROSSROADS DR SUITE 306 OWINGS MILLS, MD 21117 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-10-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-31-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

SUMMIT AMBULATORY SURGICAL CENTER, LLC
120 SISTER PIERRE DR
SUITE 102
TOWSON, MD
ZIP 21204
Phone: (410) 494-1402
Fax: (410) 296-8572
Get Directions

Mailing Address

SUMMIT AMBULATORY SURGICAL CENTER, LLC
25 CROSSROADS DR
SUITE 306
OWINGS MILLS, MD
ZIP 21117
Phone: (443) 738-2872
Fax: (443) 738-2713

Primary Taxonomy

Taxonomy Code261QA1903X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAmbulatory Surgical

Authorized Official

Authorized Official NameDR. SANFORD J SIEGEL M.D. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(410) 581-1600

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
800906600MEDICAID (05)MD
21C0001071MEDICARE UPIN (02)MD
208ZMEDICARE PIN (08)MD

Map Location


SUMMIT AMBULATORY SURGICAL CENTER, LLC address is 120 SISTER PIERRE DR SUITE 102 TOWSON, MD 21204

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003848490PSYCH ASSOCIATES CARE, LLC
Organization
Psychologist (Counseling)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1073539839DR. LOIS E NIELSEN MD
Individual
Internal Medicine120 SISTER PIERRE DR SUITE # 206
TOWSON, MD 21204
(410) 296-3650
1104864636MS. M ELIZABETH KILBY LCPC
Individual
Counselor (Professional)120 SISTER PIERRE DR SUITE 403
TOWSON, MD 21204
(410) 823-6408
1174561823DR. SPYROS JOHN MONOPOLIS MD
Individual
120 SISTER PIERRE DR SUITE 403
TOWSON, MD 21204
(410) 823-6408
1194786996DR. JACOB TENDLER MD
Individual
Psychiatry & Neurology (Pain Medicine)120 SISTER PIERRE DR SUITE 501
TOWSON, MD 21204
(410) 337-6800
1306855317DR. ROBERT CANOSA PH.D.
Individual
Social Worker (Clinical)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1306866181 ANN MARIE SMOUSE LCSW-C
Individual
Social Worker (Clinical)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1376521245DR. MARC DENNIS SOKOLOW M.D.
Individual
Internal Medicine120 SISTER PIERRE DR SUITE 105
TOWSON, MD 21204
(410) 825-6500
1417961962MS. PATRICIA M. KAMMER
Individual
Social Worker (Clinical)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1538162078 JOHN RICHARD BACON M.D.
Individual
Allergy & Immunology (Allergy)120 SISTER PIERRE DR STE 201
TOWSON, MD 21204
(410) 321-0284
1598772790 BARBARA ONEAL
Individual
Social Worker (Clinical)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1689681983DR. ROBERT CIAVERELLI M.D.
Individual
Psychiatry & Neurology (Psychiatry)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1699787549ISRAEL S ECKMAN MD LLC
Organization
Dermatology120 SISTER PIERRE DR SUITE 203
TOWSON, MD 21204
(410) 823-3422
1700996600 TERRI LYNN FEELEMYER
Individual
Social Worker (Clinical)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1811910441 SUSAN TODD LCSW-C
Individual
Social Worker (Clinical)120 SISTER PIERRE DR SUITE 403
TOWSON, MD 21204
(410) 823-6408
1902831829DR. JOHN PETER AINES JR. PHD
Individual
Psychologist120 SISTER PIERRE DR SUITE 403
TOWSON, MD 21204
(410) 823-6408
1912961871DR. SUSIE N. CHUNG M.D.
Individual
Obstetrics & Gynecology120 SISTER PIERRE DR SUITE 303
TOWSON, MD 21204
(410) 337-9003
1912993031DR. HASSAN M MAKHZOUMI
Individual
Internal Medicine (Pulmonary Disease)120 SISTER PIERRE DR STE 505
TOWSON, MD 21204
(410) 494-8668
1932113479 DONALD L. HURLEY
Individual
Social Worker (Clinical)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1962471482 MICHAEL O MAGAN M.D.
Individual
Obstetrics & Gynecology (Gynecology)120 SISTER PIERRE DR SUITE 303
TOWSON, MD 21204
(410) 337-9003