PRINCE FREDERICK SURGERY CENTER LLC
NPI 1366684326
Clinic/Center - Ambulatory Surgical in Prince Frederick, MD

NPI Status: Active since April 06, 2009

Contact Information

70 SHERRY LANE
SUITE 101
PRINCE FREDERICK, MD
ZIP 20678
Phone: (417) 889-2040
Fax: (417) 887-2125

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 21D1105328
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 09-21-2027

About PRINCE FREDERICK SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Prince Frederick Surgery Center Llc, a provider established in Prince Frederick, Maryland operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1366684326 assigned on April 2009. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jonathan Bailey (Officer/authorized Official)

NPI
1366684326
Provider Name
PRINCE FREDERICK SURGERY CENTER LLC
Entity Type
Organization
Location Address
70 SHERRY LANE SUITE 101 PRINCE FREDERICK, MD 20678
Location Phone
(417) 889-2040
Location Fax
(417) 887-2125
Mailing Address
70 SHERRY LN STE 101 PRINCE FREDERICK, MD 20678
Mailing Phone
(443) 486-4230
Mailing Fax
(417) 887-2125
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2009
Last Update Date
01-10-2025
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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

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

JONATHAN BAILEY

Authorized Official Title
OFFICER/AUTHORIZED OFFICIAL
Authorized Official Phone
(203) 609-1168

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.

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 13 times for 12 patients

Injection, bupivacaine liposome, 1 mg

Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.

This service was performed 3,192 times for 12 patients

Partial removal of collar bone at shoulder using an endoscope

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

This service was performed 22 times for 22 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 28 times for 27 patients

Removal of both knee cartilages using an endoscope

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

This service was performed 35 times for 35 patients

Removal of knee cartilage using an endoscope

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

This service was performed 48 times for 47 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 31 times for 31 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
21D1105328
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 22, 2025
Certificate Expiration Date
September 21, 2027
Laboratory Director
UDAY R. PATEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Prince Frederick Surgery Center 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 1366684326, 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
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
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 6 → 12 → 3 6 → 12 → 3 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 1 + 2 + 8 + 8 + 3 + 4 + 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 1366684326.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366684326, enumerated as an "organization" on April 06, 2009.

The provider is located at 70 SHERRY LANE SUITE 101 PRINCE FREDERICK, MD 20678 and the phone number is (417) 889-2040.

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