LUTHERVILLE SURGICENTER, LLC
NPI 1124058946
Clinic/Center - Ambulatory Surgical in Lutherville, MD

NPI Status: Active since July 04, 2006

Contact Information

1400 FRONT AVE
SUITE 100A
LUTHERVILLE, MD
ZIP 21093
Phone: (410) 828-1525
Fax: (410) 828-5045

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 21D0956210
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 01-21-2027

About LUTHERVILLE SURGICENTER, LLC

This page provides the complete NPI Profile along with additional information for Lutherville Surgicenter, Llc, a provider established in Lutherville, Maryland operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1124058946 assigned on July 2006. The practitioner's primary taxonomy code is 261QA1903X with license number A1302 (MD). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. John Russell Moore M.d. (Medical Director)

NPI
1124058946
Provider Name
LUTHERVILLE SURGICENTER, LLC
Entity Type
Organization
Location Address
1400 FRONT AVE SUITE 100A LUTHERVILLE, MD 21093
Location Phone
(410) 828-1525
Location Fax
(410) 828-5045
Mailing Address
1400 FRONT AVE SUITE 100A LUTHERVILLE, MD 21093
Mailing Phone
(410) 828-1525
Mailing Fax
(410) 828-5045
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-04-2006
Last Update Date
03-16-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
A1302
License State
MD

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOHN RUSSELL MOORE M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(410) 296-6232

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
102ZMEDICARE PIN (08) 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Fusion of finger joint, initial joint

Fusion of the initial finger joint is a surgical procedure aimed at relieving pain and improving function. The surgeon joins two bones in the finger, creating a single, more stable unit. This procedure may reduce flexibility, but it can significantly alleviate discomfort.

This service was performed 14 times for 13 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 311 times for 245 patients

Incision or the tendon covering on the top side of the wrist

This procedure involves making a small cut on the top side of your wrist to access the tendon covering. It can alleviate pain or improve mobility. You may experience temporary discomfort but it's a common, safe procedure.

This service was performed 18 times for 18 patients

Release and/or relocation of elbow nerve

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

This service was performed 65 times for 56 patients

Release and/or relocation of hand nerve

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

This service was performed 22 times for 21 patients

Release of wrist ligament using an endoscope

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

This service was performed 402 times for 318 patients

Removal of bone joints between wrist and fingers

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

This service was performed 69 times for 62 patients

Removal of connective tissue of palm and release of finger, first digit

This procedure involves removing certain tissue in your palm to alleviate tension, and releasing the first digit (thumb) if it's constricted. It's done to improve hand function and reduce discomfort. It's a common treatment for conditions like Dupuytren's contracture.

This service was performed 25 times for 24 patients

Removal of deep implant from bone

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

This service was performed 30 times for 24 patients

Removal of growth of muscle of hand or finger, less than 1.5 cm

This procedure involves the surgical removal of a small growth, less than 1.5 cm, in the muscle of the hand or finger. It's done to eliminate discomfort or to prevent potential health issues. The process is safe and performed under local anesthesia.

This service was performed 17 times for 17 patients

Removal of growth of tendon finger or hand

This procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.

This service was performed 54 times for 54 patients

Removal of wrist bone

Removal of a wrist bone, also known as wrist arthroplasty, is a surgical procedure performed to alleviate pain and improve function. It involves removing a damaged or diseased bone in the wrist and may involve replacing it with a prosthetic. This procedure can help restore mobility and quality of life.

This service was performed 26 times for 22 patients

Transfer of tendon to back of hand

A transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.

This service was performed 69 times for 64 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D0956210
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
January 22, 2025
Certificate Expiration Date
January 21, 2027
Laboratory Director
DR. PETER C. INNIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lutherville Surgicenter, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124058946, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 0 + 5 + 1 + 6 + 9 + 8 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1124058946.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Orthopaedic Surgery (Hand Surgery)
1400 FRONT AVE, SUITE 100
LUTHERVILLE, MD 21093
Physical Therapist
1400 FRONT AVE, SUITE 205
LUTHERVILLE, MD 21093
Physical Therapist (Hand)
1400 FRONT AVE, SUITE 205
LUTHERVILLE, MD 21093
Occupational Therapist (Hand)
1400 FRONT AVE, SUITE 205
LUTHERVILLE, MD 21093
Physical Therapist
1400 FRONT AVE, SUITE 205
LUTHERVILLE, MD 21093
Psychologist (Clinical)
1400 FRONT AVE, SUITE 204
LUTHERVILLE, MD 21093
Psychologist (School)
1400 FRONT AVE, SUITE 204
LUTHERVILLE, MD 21093
Orthopaedic Surgery (Hand Surgery)
1400 FRONT AVE, SUITE 100
LUTHERVILLE, MD 21093
Physician Assistant
1400 FRONT AVE, SUITE 100
LUTHERVILLE, MD 21093
Occupational Therapist
1400 FRONT AVE
LUTHERVILLE, MD 21093
Psychologist (Clinical)
1400 FRONT AVE, SUITE 204
LUTHERVILLE, MD 21093
Orthopaedic Surgery (Hand Surgery)
1400 FRONT AVE, SUITE 100
LUTHERVILLE, MD 21093
Orthopaedic Surgery (Hand Surgery)
1400 FRONT AVE, SUITE 100
LUTHERVILLE, MD 21093
Orthopaedic Surgery
1400 FRONT AVE, SUITE 100
LUTHERVILLE, MD 21093
Orthopaedic Surgery (Hand Surgery)
1400 FRONT AVE, SUITE 100
LUTHERVILLE, MD 21093
Orthopaedic Surgery (Hand Surgery)
1400 FRONT AVE, SUITE 100
LUTHERVILLE, MD 21093
Orthopaedic Surgery (Hand Surgery)
1400 FRONT AVE, SUITE 100
LUTHERVILLE, MD 21093
Orthopaedic Surgery (Hand Surgery)
1400 FRONT AVE, SUITE 100
LUTHERVILLE, MD 21093
General Practice
1400 FRONT AVE
LUTHERVILLE, MD 21093

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124058946, enumerated as an "organization" on July 04, 2006.

The provider is located at 1400 FRONT AVE SUITE 100A LUTHERVILLE, MD 21093 and the phone number is (410) 828-1525.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.