GEORGE THOMAS GRACE M.D. SURGERY CENTER
NPI 1720227176
Clinic/Center - Ambulatory Surgical in Baltimore, MD

NPI Status: Active since February 09, 2009

Contact Information

300 FREDERICK RD
SUITE 200
BALTIMORE, MD
ZIP 21228
Phone: (410) 744-0900
Fax: (410) 744-3160

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About GEORGE THOMAS GRACE M.D. SURGERY CENTER

This page provides the complete NPI Profile along with additional information for George Thomas Grace M.d. Surgery Center, a provider established in Baltimore, Maryland operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1720227176 assigned on February 2009. The practitioner's primary taxonomy code is 261QA1903X with license number A1300 (MD). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as George Thomas Grace M.d. Surgery Center. The authorized official of this NPI record is Mr. Keith Vander Kolk (President/ceo)

NPI
1720227176
Provider Legal Name
ST. AGNES HEALTHCARE, INC.
Other Organization Name
GEORGE THOMAS GRACE M.D. SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
300 FREDERICK RD SUITE 200 BALTIMORE, MD 21228
Location Phone
(410) 744-0900
Location Fax
(410) 744-3160
Mailing Address
3585 WASHINGTON BLVD HALETHORPE, MD 21227
Mailing Phone
(667) 234-2149
Mailing Fax
(410) 744-3160
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-09-2009
Last Update Date
02-25-2016
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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
License No.
A1300
License State
MD

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

MR. KEITH VANDER KOLK

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(667) 234-2101

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.

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

This service was performed 13 times for 13 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

This service was performed 12 times for 12 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

This service was performed 15 times for 15 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

This service was performed 16 times for 16 patients

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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 1720227176, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 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 2 → 4 2 → 4 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 4 + 2 + 1 + 4 + 1 + 1 + 4 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1720227176.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Specialist
300 FREDERICK RD, SUITE 200
BALTIMORE, MD 21228
Plastic Surgery
300 FREDERICK RD, SUITE 200
CATONSVILLE, MD 21228
Plastic Surgery
300 FREDERICK RD, SUITE 200
CATONSVILLE, MD 21228
Plastic Surgery
300 FREDERICK RD, SUITE 200
BALTIMORE, MD 21228
Plastic Surgery
300 FREDERICK RD, SUITE 200
BALTIMORE, MD 21228
Clinic/Center (Ambulatory Surgical)
300 FREDERICK RD, SUITE 200
BALTIMORE, MD 21228
Clinic/Center (Dental)
300 FREDERICK RD, SUITE # 101
CATONSVILLE, MD 21228

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720227176, enumerated as an "organization" on February 09, 2009.

The provider is located at 300 FREDERICK RD SUITE 200 BALTIMORE, MD 21228 and the phone number is (410) 744-0900.

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