Organization Active NPI

Abingdon Surgical Center PC

  • Ambulatory Surgical Clinic/Center
  • Abingdon, MD
National Provider Identifier
1033560420
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ABINGDON SURGICAL CENTER PC
Practice address
3401 Box Hill Corporate Center Dr
Suite 204
Abingdon, MD 21009-1200
Phone
(410) 569-0445
Fax
(410) 569-0446
NPI assigned
Jun 27, 2016
Last updated
Dec 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Authorized official

Name
Michael Kevin Block, DPMNPI 1750467338
Title
Podiatrist/Owner
Phone
(410) 569-0445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3401 Box Hill Corporate Center Dr
Suite 204
Abingdon, MD 21009-1200

Mailing address

3401 Box Hill Corporate Center Dr
Suite 201
Abingdon, MD 21009-1200
Phone (410) 569-0445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161207000826 MD Part B Supplier - Ambulatory Surgical Center 1850671959 Practice locations: Abingdon, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Abingdon Surgical Center PCCCN 21C0001593
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1033560420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 BOX HILL CORPORATE CENTER DR",
            "address_2": "SUITE 201",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091200",
            "telephone_number": "410-569-0445",
            "fax_number": "410-569-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BOX HILL CORPORATE CENTER DR",
            "address_2": "SUITE 204",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091200",
            "telephone_number": "410-569-0445",
            "fax_number": "410-569-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGDON SURGICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "410-569-0445",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.