Active NPI
Abingdon Surgical Center PC
- Ambulatory Surgical Clinic/Center
- Abingdon, MD
National Provider Identifier
1033560420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Kevin Block, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Podiatrist
- Abingdon, MD
- NPI 1750467338
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.