UNIVERSITY OF MARYLAND SHORE SURGERY CENTER AT QUEENSTOWN, LLC
NPI 1174942635
Clinic/Center - Ambulatory Surgical in Queenstown, MD
NPI Status: Active since April 14, 2014
Contact Information
125 SHOREWAY DR
QUEENSTOWN, MD
ZIP 21658
Phone: (410) 822-1000
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 21D2004486
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-13-2025
About UNIVERSITY OF MARYLAND SHORE SURGERY CENTER AT QUEENSTOWN, LLC
This page provides the complete NPI Profile along with additional information for University Of Maryland Shore Surgery Center At Queenstown, Llc, a provider established in Queenstown, Maryland operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1174942635 assigned on April 2014. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Kenneth D Kozel (President/ceo)
- NPI
- 1174942635
- Provider Name
- UNIVERSITY OF MARYLAND SHORE SURGERY CENTER AT QUEENSTOWN, LLC
- Entity Type
- Organization
- Location Address
- 125 SHOREWAY DR QUEENSTOWN, MD 21658
- Location Phone
- (410) 822-1000
- Mailing Address
- 219 S WASHINGTON ST EASTON, MD 21601
- Mailing Phone
- (410) 822-1000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-14-2014
- Last Update Date
- 04-14-2014
- Code Navigator
Location Map
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
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
- 21D2004486
- Facility Type
- Physician Office
- Certificate Effective Date
- November 14, 2023
- Certificate Expiration Date
- November 13, 2025
- Laboratory Director
- DR. CHRISTOPHER RUNZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to University Of Maryland Shore Surgery Center At Queenstown, 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 1174942635, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
QUEENSTOWN, MD 21658
QUEENSTOWN, MD 21658
QUEENSTOWN, MD 21658
QUEENSTOWN, MD 21658
QUEENSTOWN, MD 21658
QUEENSTOWN, MD 21658
QUEENSTOWN, MD 21658
QUEENSTOWN, MD 21658
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174942635, enumerated as an "organization" on April 14, 2014.
The provider is located at 125 SHOREWAY DR QUEENSTOWN, MD 21658 and the phone number is (410) 822-1000.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
