Stephanie M. Dunbar LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Bel Air, MD
NPI 1003209495 · NPPES record last updated Dec 16, 2015
Key facts
- NPI
- 1003209495
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- STEPHANIE M. DUNBAR LLC
- Practice address
- 1210 Forest Oak CT
Bel Air, MD 21015-6170 - Phone
- (410) 688-7792
- Fax
- (410) 836-8064
- NPI assigned
- Mar 10, 2015
- Organization subpart
- No
Authorized official
- Name
- Stephanie Miller Dunbar, MSN, CRNA
- Title
- President
- Phone
- (410) 688-7792
Practitioners 2
-
Stephanie Miller Dunbar, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150504001065 | MD | Part B Supplier - Clinic/Group Practice | 5890014401 |
Receives reassigned benefits from 2 practitioners Practice locations: Bel Air, MD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
1210 Forest Oak CT
Bel Air, MD 21015-6170
Mailing address
10845 Philadelphia Rd
White Marsh, MD 21162-1717
Phone (410) 335-0008
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DV9564 | Other | GA | RAILROAD MEDICARE |
| 406168 | Other | MD | MEDICARE |
| BY10-0001 | Other | MD | CAREFIRST |
| BY10-0001 | Other | DC | CAREFIRST |
Other providers in Bel Air, MD
- Danielle Avery Steigauf
- Rachel Stein
- Stacy Steinberg
- Scott A Steinmetz
- Shawn Richard Stella
- Stephen M Cockey DDS PA
- Debbie-Ann Sterling-Smith
- Steven C. Scherr, D.D.S.
- Steven Z. Lenowitz, M.D., L.L.C.
- Alexandra Stevens
All providers in Bel Air, MD · Ambulatory Surgical Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.