NPIMap

Organization Active NPI

Kent Island Surgery Center LLC

  • Pain Clinic/Center
  • Chester, MD
National Provider Identifier
1033524855
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
KENT ISLAND SURGERY CENTER LLC
Practice address
1630 Main St
Suite 215a
Chester, MD 21619-2791
Phone
(410) 571-9000
Fax
(410) 571-1670
NPI assigned
Jul 1, 2014
Last updated
Sep 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian S Kahan, D.O.NPI 1740210814
Title
Member
Phone
(410) 571-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

1630 Main St
Suite 215a
Chester, MD 21619-2791

Mailing address

2661 Riva Rd
Building 100 Suite 115
Annapolis, MD 21401-7353
Phone (443) 458-5132

National Provider Directory

National Provider Directory

Locations

2661 Riva Rd
Ste 115
Annapolis, MD 21401

1630 Main St
Ste 215A
Chester, MD 21619
Phone (410) 571-9000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1033524855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 RIVA RD",
            "address_2": "BUILDING 100 SUITE 115",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017353",
            "telephone_number": "443-458-5132",
            "fax_number": "443-221-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MAIN ST",
            "address_2": "SUITE 215A",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192791",
            "telephone_number": "410-571-9000",
            "fax_number": "410-571-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT ISLAND SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "KAHAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-571-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.