Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since April 06, 2009CLIA 21D1105328 · Waiver
70 SHERRY LANE, SUITE 101, PRINCE FREDERICK, MD 20678(417) 889-2040(417) 887-2125 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 5, 2026, Jan 10, 2025, May 1, 2024 and 1 more (4 updates tracked since 2022).

About Prince Frederick Surgery Center Llc NPPES

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

PRINCE FREDERICK SURGERY CENTER LLC (NPI 1366684326) is a healthcare organization registered as an ambulatory surgical in Prince Frederick, Maryland and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Jonathan Bailey, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1366684326
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePRINCE FREDERICK SURGERY CENTER LLC
Location Address70 SHERRY LANE, SUITE 101Prince Frederick, MD 20678
Mailing Address70 Sherry Ln Ste 101Prince Frederick, MD 20678-3276 · (443) 486-4230 · Fax (443) 486-4231
Fax(417) 887-2125
Organization SubpartNo
Authorized OfficialJonathan BaileyOfficer/authorized Official · (203) 609-1168
Enumeration DateApril 6, 2009
Last NPPES UpdateAugust 5, 20264 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1366684326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
70 SHERRY LANE, Prince Frederick, MD 20678

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 21D1105328

Prince Frederick Surgery Center LLC · Prince Frederick, MD
Active · expires Sep 21, 2027
CLIA Number21D1105328
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorUday R. Patel
Laboratory Phone(443) 486-4230
Laboratory LocationPrince Frederick Surgery Center LLC70 Sherry Lane, Prince Frederick, MD 20678
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 11

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 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.
76 services38 patients
Removal of both knee cartilages using an endoscope 29880
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.
48 services47 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
48 services27 patients
Replacement of knee joint, both sides of knee 27447
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.
43 services43 patients
Removal of knee cartilage using an endoscope 29881
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.
38 services38 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
26 services18 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 Prince Frederick Surgery Center LLC's NPI number?

The NPI number for Prince Frederick Surgery Center LLC is 1366684326. It was assigned to this organization in the NPPES registry on April 6, 2009.

Where is Prince Frederick Surgery Center LLC located?

Prince Frederick Surgery Center LLC is located at 70 Sherry Lane Suite 101, Prince Frederick, MD 20678. The listed phone number is (417) 889-2040.

What is Prince Frederick Surgery Center LLC's specialty?

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

Does Prince Frederick Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1105328) is associated with this NPI, valid through September 21, 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 Prince Frederick Surgery Center LLC was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.