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COLLEGE PARK SURGERY CENTER, LLC
NPI 1962711614
Clinic/Center - Ambulatory Surgical in Glenn Dale, MD

Active since September 29, 2010
12200 ANNAPOLIS RD, SUITE 220, GLENN DALE, MD 20769(301) 699-2292(301) 699-2293 Get Directions Write a Review

NPPES record last updated: September 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About College Park Surgery Center, Llc NPPES

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

COLLEGE PARK SURGERY CENTER, LLC (NPI 1962711614) is a healthcare organization registered as an ambulatory surgical in Glenn Dale, Maryland and active in the NPI registry since September 2010. The organization lists Alpha T. Banks, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1962711614
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOLLEGE PARK SURGERY CENTER, LLC
Location Address12200 ANNAPOLIS RD, SUITE 220Glenn Dale, MD 20769-9182
Mailing Address7309 Baltimore Ave, Suite 220College Park, MD 20740-3200 · (301) 699-2292 · Fax (301) 699-2293
Phone(301) 699-2292
Fax(301) 699-2293
Organization SubpartNo
Authorized OfficialAlpha T. BanksMedical Director · (301) 699-2292
Enumeration DateSeptember 29, 2010
✔ NPI 1962711614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in DC · MD18563
12200 ANNAPOLIS RD, Glenn Dale, MD 20769
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Areas of Expertise CMS Part B claims

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.

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
35 services34 patients

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.

MARYLAND SPECIALTY GROUP LLC
Obstetrics & Gynecology
12200 ANNAPOLIS RD, SUITE# 123
GLENN DALE, MD 20769
Prince George's County (301) 552-9495
MARTHA JOHNSON
Massage Therapist
12200 ANNAPOLIS RD, SUITE 221
GLENN DALE, MD 20769
Prince George's County (301) 352-2991
WHOLISTIC RESTORATIONS LLC
Clinic/Center (Adult Mental Health)
12200 ANNAPOLIS RD, SUITE 320
GLENN DALE, MD 20769
Prince George's County (301) 399-9119
MARYLAND SPECIALTY GROUP LLC
Surgery (Vascular Surgery)
12200 ANNAPOLIS RD, STE 123
GLENN DALE, MD 20769
Prince George's County (301) 552-9495
ADVANCED EYE CARE MEDICAL CENTER
Ophthalmology
12200 ANNAPOLIS RD, SUITE 116
GLENN DALE, MD 20769
Prince George's County (301) 805-4664
LARRY W. BRYANT DDS, PC
Dentist (Oral and Maxillofacial Surgery)
12200 ANNAPOLIS RD, SUITE 236-240
GLENN DALE, MD 20769
Prince George's County (301) 249-0553
DR. VALERIE DAWN CALLENDER M.D.
Dermatology
12200 ANNAPOLIS RD, SUITE 315
GLENN DALE, MD 20769
Prince George's County (301) 249-0970
NICOLE C LAWSON OT
Occupational Therapist
12200 ANNAPOLIS RD, SUITE 225
GLENN DALE, MD 20769
Prince George's County (301) 860-0003

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 College Park Surgery Center, LLC's NPI number?

The NPI number for College Park Surgery Center, LLC is 1962711614. It was assigned to this organization in the NPPES registry on September 29, 2010.

Where is College Park Surgery Center, LLC located?

College Park Surgery Center, LLC is located at 12200 Annapolis Rd Suite 220, Glenn Dale, MD 20769. The listed phone number is (301) 699-2292.

What is College Park Surgery 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 College Park Surgery Center, LLC was last updated on September 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.