SURGCENTER OF WESTERN MARYLAND, LLC
NPI 1699054098
Clinic/Center - Ambulatory Surgical in Cumberland, MD

Active since August 16, 2011CLIA 21D2029875 · Waiver
12252 WILLIAMS RD SE, SUIT 103, CUMBERLAND, MD 21502(240) 522-0185(240) 522-0186 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Surgcenter Of Western Maryland, Llc NPPES

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

SURGCENTER OF WESTERN MARYLAND, LLC (NPI 1699054098) is a healthcare organization registered as an ambulatory surgical in Cumberland, Maryland and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Tom Ghobrial, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699054098
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGCENTER OF WESTERN MARYLAND, LLC
Location Address12252 WILLIAMS RD SE, SUIT 103Cumberland, MD 21502-7960
Mailing Address12252 Williams Rd Se, Suit 103Cumberland, MD 21502-7960 · (240) 522-0185 · Fax (240) 522-0186
Fax(240) 522-0186
Organization SubpartNo
Authorized OfficialTom GhobrialCeo · (240) 964-4838
Enumeration DateAugust 16, 2011
Last NPPES UpdateApril 8, 2022
NPPES CertifiedApril 8, 2022
NPI 1699054098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
12252 WILLIAMS RD SE, Cumberland, MD 21502

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 21D2029875

Surgcenter Of Western Maryland, LLC · Cumberland, MD
Active · expires Sep 15, 2027
CLIA Number21D2029875
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorDr. Michael W. Stasko
Laboratory Phone(814) 233-0140
Laboratory LocationSurgcenter Of Western Maryland, LLC12252 Williams Rd SE Ste 103, Cumberland, MD 21502
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 17

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
699 services378 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
203 services201 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
109 services109 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
93 services93 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
84 services59 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.
69 services66 patients

Other Providers at the Same Location NPPES 7

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

Physician Assistant
12252 WILLIAMS RD SE
CUMBERLAND, MD 21502
Physician Assistant (Surgical)
12252 WILLIAMS RD SE, SUITE 301
CUMBERLAND, MD 21502
Nurse Anesthetist, Certified Registered
12252 WILLIAMS RD SE, #103
CUMBERLAND, MD 21502
Specialist
12252 WILLIAMS RD SE, SUITE 101
CUMBERLAND, MD 21502
Physician Assistant (Medical)
12252 WILLIAMS RD SE
CUMBERLAND, MD 21502
Radiology (Diagnostic Radiology)
12252 WILLIAMS RD SE
CUMBERLAND, MD 21502
Orthopaedic Surgery
12252 WILLIAMS RD SE
CUMBERLAND, MD 21502

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 Surgcenter Of Western Maryland, LLC's NPI number?

The NPI number for Surgcenter Of Western Maryland, LLC is 1699054098. It was assigned to this organization in the NPPES registry on August 16, 2011.

Where is Surgcenter Of Western Maryland, LLC located?

Surgcenter Of Western Maryland, LLC is located at 12252 Williams Rd SE Suit 103, Cumberland, MD 21502. The listed phone number is (240) 522-0185.

What is Surgcenter Of Western Maryland, LLC's specialty?

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

Does Surgcenter Of Western Maryland, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2029875) is associated with this NPI, valid through September 15, 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 Surgcenter Of Western Maryland, LLC was last updated on April 8, 2022. 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.