SUMMIT AMBULATORY SURGICAL CENTER LLC
NPI 1184125809
Clinic/Center - Ambulatory Surgical in Salisbury, MD

Active since February 27, 2018
1111 MOUNT HERMON RD # B, SALISBURY, MD 21804(410) 546-2133 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2025, Feb 9, 2023, Aug 17, 2022 and 2 more (5 updates tracked since 2018).

About Summit Ambulatory Surgical Center Llc NPPES

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

SUMMIT AMBULATORY SURGICAL CENTER LLC (NPI 1184125809) is a healthcare organization registered as an ambulatory surgical in Salisbury, Maryland and active in the NPI registry since February 2018. The organization lists Jonathan Bailey, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1184125809
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUMMIT AMBULATORY SURGICAL CENTER LLC
Location Address1111 MOUNT HERMON RD # BSalisbury, MD 21804-5109
Mailing Address14201 Dallas PkwyDallas, TX 75254-2916 · (469) 872-4706
Organization SubpartNo
Authorized OfficialJonathan BaileyOfficer/authorized Official · (203) 609-1168
Enumeration DateFebruary 27, 2018
Last NPPES UpdateJanuary 14, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
NPI 1184125809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1111 MOUNT HERMON RD # B, Salisbury, MD 21804

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 for Provider-Performed Microscopy Procedures (PPMP) 21D2152162

Summit Ambulatory Surgical Center · Salisbury, MD
Expired · Aug 5, 2026
CLIA Number21D2152162
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 6, 2024
Certificate Expiration DateAugust 5, 2026
Laboratory DirectorDr. Brad D. Lerner
Laboratory Phone(443) 738-8170
Laboratory LocationSummit Ambulatory Surgical Center1111 Mount Hermon Road, Suite B, Salisbury, MD 21804
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 21

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
31,150 services118 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
830 services743 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
205 services205 patients
Exam with injections of chemical for destruction of bladder using an endoscope 52287
This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.
193 services118 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
190 services190 patients
Insertion of sacral nerve neurostimulator electrode array 64561
The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
73 services32 patients

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 Summit Ambulatory Surgical Center LLC's NPI number?

The NPI number for Summit Ambulatory Surgical Center LLC is 1184125809. It was assigned to this organization in the NPPES registry on February 27, 2018.

Where is Summit Ambulatory Surgical Center LLC located?

Summit Ambulatory Surgical Center LLC is located at 1111 Mount Hermon Rd # B, Salisbury, MD 21804. The listed phone number is (410) 546-2133.

What is Summit Ambulatory Surgical Center LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Summit Ambulatory Surgical Center LLC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.