SURGERY CENTER OF ANNAPOLIS
NPI 1235416959
Clinic/Center - Ambulatory Surgical in Annapolis, MD

Active since November 09, 2011CLIA 21D2045385 · Waiver
130 ADMIRAL COCHRANE DR, SUITE 302, ANNAPOLIS, MD 21401(410) 571-1280(410) 571-1288 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surgery Center Of Annapolis NPPES

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

SURGERY CENTER OF ANNAPOLIS (NPI 1235416959) is a healthcare organization registered as an ambulatory surgical in Annapolis, Maryland and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Erica Anne Hale, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1235416959
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER OF ANNAPOLIS, LLC
Location Address130 ADMIRAL COCHRANE DR, SUITE 302Annapolis, MD 21401-7368
Mailing Address130 Admiral Cochrane Dr, Suite 302Annapolis, MD 21401-7368 · (410) 571-1280 · Fax (410) 571-1288
Fax(410) 571-1288
Organization SubpartNo
Authorized OfficialErica Anne HaleOffice Administrator · (410) 571-1280
Enumeration DateNovember 9, 2011
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
NPI 1235416959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
130 ADMIRAL COCHRANE DR, Annapolis, MD 21401

Other Names 1

Doing Business AsSurgery Center Of Annapolis

Other Identifiers 1

Other120187MD · Clia

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 21D2045385

Surgery Center Of Annapolis · Annapolis, MD
Active · expires Aug 12, 2026
CLIA Number21D2045385
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorDr. Kelly M. Sullivan
Laboratory Phone(410) 571-1280
Laboratory LocationSurgery Center Of Annapolis130 Admiral Cochrane Drive, Suite 302, Annapolis, MD 21401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery (Foot and Ankle Surgery)
130 ADMIRAL COCHRANE DR, SUITE 303
ANNAPOLIS, MD 21401
Anesthesiology
130 ADMIRAL COCHRANE DR
ANNAPOLIS, MD 21401
Physical Therapist
130 ADMIRAL COCHRANE DR, SUITE 101
ANNAPOLIS, MD 21401
Physical Therapist
130 ADMIRAL COCHRANE DR
ANNAPOLIS, MD 21401
Physical Therapy Assistant
130 ADMIRAL COCHRANE DR, SUITE 101
ANNAPOLIS, MD 21401
Orthopaedic Surgery
130 ADMIRAL COCHRANE DR, STE 303
ANNAPOLIS, MD 21401
Orthopaedic Surgery
130 ADMIRAL COCHRANE DR, SUITE 303
ANNAPOLIS, MD 21401
Physical Therapist
130 ADMIRAL COCHRANE DR
ANNAPOLIS, MD 21401

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 Surgery Center Of Annapolis, LLC's NPI number?

The NPI number for Surgery Center Of Annapolis, LLC is 1235416959. It was assigned to this organization in the NPPES registry on November 9, 2011. The provider is doing business as Surgery Center Of Annapolis.

Where is Surgery Center Of Annapolis, LLC located?

Surgery Center Of Annapolis, LLC is located at 130 Admiral Cochrane Dr Suite 302, Annapolis, MD 21401. The listed phone number is (410) 571-1280.

What is Surgery Center Of Annapolis, LLC's specialty?

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

Does Surgery Center Of Annapolis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2045385) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Surgery Center Of Annapolis, LLC was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.