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 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 11 years ago. The authorized official of this NPI record is Dr. Sanford J Siegel M.d. (President)
| NPI | 1003004482 |
| Provider Name | SUMMIT AMBULATORY SURGICAL CENTER, LLC |
| Provider Location Address | 120 SISTER PIERRE DR SUITE 102 TOWSON, MD 21204 |
| Provider Mailing Address | 25 CROSSROADS DR SUITE 306 OWINGS MILLS, MD 21117 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 10-10-2007 |
| Last Update Date | 08-31-2011 |
Primary Taxonomy
| Taxonomy Code | 261QA1903X |
| Classification | Clinic/Center |
| Type | Ambulatory Health Care Facilities |
| Specialization | Ambulatory 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
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
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 |
|---|---|---|
| 800906600 | MEDICAID (05) | MD |
| 21C0001071 | MEDICARE UPIN (02) | MD |
| 208Z | MEDICARE 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 |
|---|---|---|---|
| 1538162078 | JOHN RICHARD BACON M.D. Individual | Allergy & Immunology (Allergy) | 120 SISTER PIERRE DR STE 201 TOWSON, MD 21204 (410) 321-0284 |
| 1912993031 | DR. HASSAN M MAKHZOUMI Individual | Internal Medicine (Pulmonary Disease) | 120 SISTER PIERRE DR STE 505 TOWSON, MD 21204 (410) 494-8668 |
| 1376521245 | DR. MARC DENNIS SOKOLOW M.D. Individual | Internal Medicine | 120 SISTER PIERRE DR SUITE 105 TOWSON, MD 21204 (410) 825-6500 |
| 1962471482 | MICHAEL O MAGAN M.D. Individual | Obstetrics & Gynecology (Gynecology) | 120 SISTER PIERRE DR SUITE 303 TOWSON, MD 21204 (410) 337-9003 |
| 1194786996 | DR. JACOB TENDLER MD Individual | Psychiatry & Neurology (Pain Medicine) | 120 SISTER PIERRE DR SUITE 501 TOWSON, MD 21204 (410) 337-6800 |
| 1912961871 | DR. SUSIE N. CHUNG M.D. Individual | Obstetrics & Gynecology | 120 SISTER PIERRE DR SUITE 303 TOWSON, MD 21204 (410) 337-9003 |
| 1104864636 | MS. M ELIZABETH KILBY LCPC Individual | Counselor (Professional) | 120 SISTER PIERRE DR SUITE 403 TOWSON, MD 21204 (410) 823-6408 |
| 1902831829 | DR. JOHN PETER AINES JR. PHD Individual | Psychologist | 120 SISTER PIERRE DR SUITE 403 TOWSON, MD 21204 (410) 823-6408 |
| 1073539839 | DR. LOIS E NIELSEN MD Individual | Internal Medicine | 120 SISTER PIERRE DR SUITE # 206 TOWSON, MD 21204 (410) 296-3650 |
| 1306866181 | ANN MARIE SMOUSE LCSW-C Individual | Social Worker (Clinical) | 120 SISTER PIERRE DR SUITE 407 TOWSON, MD 21204 (443) 279-2000 |
| 1932113479 | DONALD L. HURLEY Individual | Social Worker (Clinical) | 120 SISTER PIERRE DR SUITE 407 TOWSON, MD 21204 (443) 279-2000 |
| 1417961962 | MS. PATRICIA M. KAMMER Individual | Social Worker (Clinical) | 120 SISTER PIERRE DR SUITE 407 TOWSON, MD 21204 (443) 279-2000 |
| 1689681983 | DR. ROBERT CIAVERELLI M.D. Individual | Psychiatry & Neurology (Psychiatry) | 120 SISTER PIERRE DR SUITE 407 TOWSON, MD 21204 (443) 279-2000 |
| 1306855317 | DR. ROBERT CANOSA PH.D. Individual | Social Worker (Clinical) | 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 |
| 1063522969 | JAMES R. KLIMA Individual | Social Worker (Clinical) | 120 SISTER PIERRE DR SUITE 407 TOWSON, MD 21204 (443) 279-2000 |
| 1518077767 | DR. ROBERT A CLAYTON M.D. Individual | Otolaryngology | 120 SISTER PIERRE DR SUITE 202 TOWSON, MD 21204 (410) 825-3900 |
| 1477659332 | DR. LAURIE S ORGEL M.D. Individual | Psychiatry & Neurology (Psychiatry) | 120 SISTER PIERRE DR STE 307 TOWSON, MD 21204 (410) 296-9033 |
| 1659479178 | JEFFREY STEVEN ALEXANDER MD Individual | Internal Medicine | 120 SISTER PIERRE DR SUITE 101 TOWSON, MD 21204 (443) 901-0301 |
| 1972667434 | DR. TIMOTHY HERLIHY M.D. Individual | Internal Medicine | 120 SISTER PIERRE DR TOWSON, MD 21204 (410) 296-5290 |
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.