Active NPI
Medstar Surgery Center at Timonium, LLC
- Ambulatory Surgical Clinic/Center
- Timonium, MD
National Provider Identifier
1033635206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Timonium
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2138381 | Medstar Surgery Center at Timonium | Certificate of waiver | Oct 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1659348738
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.