Organization Active NPI

Medstar Surgery Center at Timonium, LLC

  • Ambulatory Surgical Clinic/Center
  • Timonium, MD
National Provider Identifier
1033635206
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MEDSTAR SURGERY CENTER AT TIMONIUM, LLC
Practice address
2118 Greenspring Dr
Timonium, MD 21093-3112
Phone
(410) 252-5671
NPI assigned
Aug 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Authorized official

Name
Spencer Rubinstein
Title
Business Office Manager
Phone
(410) 252-5671

Specialties & licenses 1

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

Addresses

Primary practice location

2118 Greenspring Dr
Timonium, MD 21093-3112

Mailing address

2118 Greenspring Dr Ste 300
Timonium, MD 21093-3112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171016002505 MD Part B Supplier - Ambulatory Surgical Center 3577839703 Practice locations: Timonium, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Medstar Surgery Center at TimoniumCCN 21C0001600
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2138381Medstar Surgery Center at Timonium2118 Greenspring Dr Suite 300, Timonium, MD 21093Certificate of waiverOct 16, 2027

National Provider Directory

National Provider Directory

Locations

2118 Greenspring Dr
Ste 300
Timonium, MD 21093
Phone (410) 252-5671

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1033635206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 GREENSPRING DR STE 300",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 GREENSPRING DR",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933112",
            "telephone_number": "410-252-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR SURGERY CENTER AT TIMONIUM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "RUBINSTEIN",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "410-252-5671"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.