SUMMIT AMBULATORY SURGICAL CENTER, LLC NPI 1003004482

Clinic/Center (Ambulatory Surgical) in Towson, MD

Organization Clinic/Center Ambulatory Surgical

About SUMMIT AMBULATORY SURGICAL CENTER, LLC

Summit Ambulatory Surgical Center, Llc is a provider established in Towson, Maryland specializing in clinic/center (ambulatory surgical) . The NPI number of Summit Ambulatory Surgical Center, Llc is 1003004482 and was assigned on October 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Sanford J Siegel M.d. (President)

NPI

1003004482

Provider NameSUMMIT AMBULATORY SURGICAL CENTER, LLC
Provider Location Address120 SISTER PIERRE DR SUITE 102 TOWSON, MD 21204
Provider Mailing Address25 CROSSROADS DR SUITE 306 OWINGS MILLS, MD 21117
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-10-2007
Last Update Date08-31-2011

Primary Taxonomy

Taxonomy Code261QA1903X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAmbulatory Surgical

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

Authorized Official

Authorized Official NameDR. SANFORD J SIEGEL M.D.
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

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1063522969 JAMES R. KLIMA
Individual
Social Worker (Clinical)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
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
1477659332DR. LAURIE S ORGEL M.D.
Individual
Psychiatry & Neurology (Psychiatry)120 SISTER PIERRE DR STE 307
TOWSON, MD 21204
(410) 296-9033
1518077767DR. ROBERT A CLAYTON M.D.
Individual
Otolaryngology120 SISTER PIERRE DR SUITE 202
TOWSON, MD 21204
(410) 825-3900
1538162078 JOHN RICHARD BACON M.D.
Individual
Allergy & Immunology (Allergy)120 SISTER PIERRE DR STE 201
TOWSON, MD 21204
(410) 321-0284
1659479178 JEFFREY STEVEN ALEXANDER MD
Individual
Internal Medicine120 SISTER PIERRE DR SUITE 101
TOWSON, MD 21204
(443) 901-0301
1689681983DR. ROBERT CIAVERELLI M.D.
Individual
Psychiatry & Neurology (Psychiatry)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.