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LEONARDTOWN SURGERY CENTER LLC
NPI 1174802045
Clinic/Center - Ambulatory Surgical in Leonardtown, MD

Active since August 10, 2011CLIA 21D2029564 · Waiver
40900 MERCHANTS LN, SUITE 200, LEONARDTOWN, MD 20650(301) 690-2203 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Sep 13, 2024, Oct 20, 2023 and 2 more (5 updates tracked since 2021).

About Leonardtown Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEONARDTOWN SURGERY CENTER LLC (NPI 1174802045) is a healthcare organization registered as an ambulatory surgical in Leonardtown, Maryland and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Jonathan Bailey, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1174802045
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLEONARDTOWN SURGERY CENTER LLC
Location Address40900 MERCHANTS LN, SUITE 200Leonardtown, MD 20650-3795
Mailing Address40900 Merchants Ln Unit 200Leonardtown, MD 20650-3796 · (301) 690-2203
Phone(301) 690-2203
Organization SubpartNo
Authorized OfficialJonathan BaileyOfficer/authorized Official · (203) 609-1168
Enumeration DateAugust 10, 2011
Last NPPES UpdateSeptember 17, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1174802045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
40900 MERCHANTS LN, Leonardtown, MD 20650
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2029564

Leonardtown Surgery Center, LLC · Leonardtown, MD
Active · expires Sep 8, 2027
CLIA Number21D2029564
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorDr. Michael T. Travis
Laboratory Phone(301) 690-2203
Laboratory LocationLeonardtown Surgery Center, LLC40900 Merchants Lane, Leonardtown, MD 20650
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
318 services201 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
198 services64 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
116 services74 patients
Incision of tendon covering of finger 26055
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.
52 services45 patients
Release and/or relocation of hand nerve 64721
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.
52 services48 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
42 services27 patients

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDY STEPURA
Physical Therapist
40900 MERCHANTS LN
LEONARDTOWN, MD 20650
St. Mary's County (301) 997-1155
MS. LORRAINE R. DIANA NP
Nurse Practitioner (Obstetrics & Gynecology)
40900 MERCHANTS LN
LEONARDTOWN, MD 20650
St. Mary's County (301) 997-1315
MRS. JENELLE L COOPER MPT
Physical Therapist
40900 MERCHANTS LN
LEONARDTOWN, MD 20650
St. Mary's County (301) 997-1155
FRANK L. KRIGER MD PHD PA
Internal Medicine (Nephrology)
40900 MERCHANTS LN, SUITE 207
LEONARDTOWN, MD 20650
St. Mary's County (301) 997-1580
JENNIFER MATTEI P.T.
Physical Therapist
40900 MERCHANTS LN, SUITE 202
LEONARDTOWN, MD 20650
St. Mary's County (301) 997-1155
ELIZABETH WELSH
Physical Therapy Assistant
40900 MERCHANTS LN
LEONARDTOWN, MD 20650
St. Mary's County (301) 997-1155
DANA MARIE RUSSELL CRNP
Nurse Practitioner (Adult Health)
40900 MERCHANTS LN, SUITE 207
LEONARDTOWN, MD 20650
St. Mary's County (301) 997-0071
MICHAEL ANDREW PIPKIN PT, DPT
Physical Therapist
40900 MERCHANTS LN, SUITE 202
LEONARDTOWN, MD 20650
St. Mary's County (301) 997-1155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leonardtown Surgery Center LLC's NPI number?

The NPI number for Leonardtown Surgery Center LLC is 1174802045. It was assigned to this organization in the NPPES registry on August 10, 2011.

Where is Leonardtown Surgery Center LLC located?

Leonardtown Surgery Center LLC is located at 40900 Merchants Ln Suite 200, Leonardtown, MD 20650. The listed phone number is (301) 690-2203.

What is Leonardtown Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Leonardtown Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2029564) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Leonardtown Surgery Center LLC was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.