1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Clinic Center
  6. NPI Profile

SUMMIT AMBULATORY SURGICAL CENTER, LLC
NPI 1649467630
Clinic/Center - Ambulatory Surgical in Baltimore, MD

Active since October 03, 2007
5601 LOCH RAVEN BLVD, SUITE 307, BALTIMORE, MD 21239(410) 433-7303(410) 433-7755 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1649467630) is a healthcare organization registered as an ambulatory surgical in Baltimore, Maryland and active in the NPI registry since October 2007. The organization lists Sanford J. Siegel, President, as its authorized official.

NPPES Registry Identity

NPI1649467630
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUMMIT AMBULATORY SURGICAL CENTER, LLC
Location Address5601 LOCH RAVEN BLVD, SUITE 307Baltimore, MD 21239-2905
Mailing Address25 Crossroads Dr, Suite 306Owings Mills, MD 21117-5421 · (443) 738-2872 · Fax (443) 738-2713
Phone(410) 433-7303
Fax(410) 433-7755
Organization SubpartNo
Authorized OfficialSanford J. SiegelPresident · (410) 581-1600
Enumeration DateOctober 3, 2007
Last NPPES UpdateJuly 28, 2016
✔ NPI 1649467630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5601 LOCH RAVEN BLVD, Baltimore, MD 21239
Open in Google Maps ↗

Other Identifiers 3

Medicaid800906607MD
Medicare UPIN21C0001248MD
Medicare PIN204ZMD

Other Providers at the Same Location NPPES 20

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

JACQUELINE L. HOOVER P.A.-C
Physician Assistant
5601 LOCH RAVEN BLVD, BALTIMORE
BALTIMORE, MD 21239
Baltimore City (443) 444-4730
DR. TIFFANI DANIELLE PITTMAN M.D.
Anesthesiology
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-4863
DR. SUJAN THAPALIYA M.D.
Internal Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (855) 633-0363
SHARAREH SHERRY BADRI M.D.
Internal Medicine (Geriatric Medicine)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-6100
ALAYNA MARIE BLAZAKIS CRNP
Nurse Practitioner
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-4275
DR. ELIAS K SHAYA M.D.
Psychiatry & Neurology (Psychiatry)
5601 LOCH RAVEN BLVD, RMB 406
BALTIMORE, MD 21239
Baltimore City (410) 532-4540
CANDICE DIOR JORDAN M.D.
Emergency Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (855) 633-5655
SONJA STANTON RN BSN
Registered Nurse (Gerontology)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-6100

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 1649467630. It was assigned to this organization in the NPPES registry on October 3, 2007.

Where is Summit Ambulatory Surgical Center, LLC located?

Summit Ambulatory Surgical Center, LLC is located at 5601 Loch Raven Blvd Suite 307, Baltimore, MD 21239. The listed phone number is (410) 433-7303.

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 July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.