BOWIE SURGERY CENTER NPI 1003418492

Clinic/Center (Ambulatory Surgical) in Glenn Dale, MD

NPI 1003418492 Organization Clinic/Center Ambulatory Surgical

About BOWIE SURGERY CENTER

Bowie Surgery Center is a provider established in Glenn Dale, Maryland specializing in clinic/center (ambulatory surgical) . The NPI number of Bowie Surgery Center is 1003418492 and was assigned on November 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Kwasi Debra Md (Authorized Official)

NPI

1003418492

Provider NameBOWIE SURGERY CENTER
Provider Location Address12200 ANNAPOLIS RD STE 123 GLENN DALE, MD 20769
Provider Mailing Address12200 ANNAPOLIS RD STE 123 GLENN DALE, MD 20769
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-11-2020
Last Update Date11-11-2020


Primary Taxonomy

Taxonomy Code261QA1903X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAmbulatory Surgical

Business Address

BOWIE SURGERY CENTER
12200 ANNAPOLIS RD STE 123
GLENN DALE, MD
ZIP 20769
Phone: (301) 552-4300

Get Directions


Mailing Address

BOWIE SURGERY CENTER
12200 ANNAPOLIS RD STE 123
GLENN DALE, MD
ZIP 20769
Phone: (301) 552-4300



Authorized Official

Authorized Official Name KWASI DEBRA MD
Authorized Official TitleAUTHORIZED OFFICIAL
Authorized Official Phone(703) 867-1551

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710985452 CRAIG MICHAEL THOMAS M.D.
Individual
Orthopaedic Surgery12200 ANNAPOLIS RD STE 123
GLENN DALE, MD 20769
(301) 364-9292
1497311492CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
Organization
Orthopaedic Surgery12200 ANNAPOLIS RD STE 123
GLENN DALE, MD 20769
(301) 364-9292
1083686794MR. BARRY EUGENE THOMPSON PA-C
Individual
Physician Assistant12200 ANNAPOLIS RD STE 123
GLENN DALE, MD 20769
(301) 364-9292

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.