Pikesville MD Endoscopy ASC LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Baltimore, MD
NPI 1043497019 · NPPES record last updated Aug 25, 2022
Key facts
- NPI
- 1043497019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- PIKESVILLE MD ENDOSCOPY ASC LLC
- Practice address
- 1838 Greene Tree Rd
Suite 180
Baltimore, MD 21208-6391 - Phone
- (410) 602-7782
- Fax
- (410) 602-9345
- NPI assigned
- Jan 22, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeffrey Snodgrass
- Title
- President
- Phone
- (615) 665-1283
Practitioners 105
-
Moncheri Harper Adebayo, CRNP
-
Obinna C. Adogu, CRNA
-
Irys Ako Agbortabi, CRNA
-
Oluwaremilekun Ajibike, CRNA
-
Adedayo Comfort Alalade, CRNA
-
Yvette Anderson, CRNA
-
Inna Bardoff, CRNP
-
Steven Bluestein, C.R.N.A.
-
Eric Blum, M.D.
-
Danielle Rena Boggio, C.R.N.A.
-
Meika P Boyce, CRNA
-
Cassandra Boyd, CRNA
-
Erica Lynn Burns, CRNA
-
Payal Mecwan Christian, CRNP
-
Vaida Connors, CRNA
-
Christina Dinatale, CRNP
-
Ann Marie Dumonchelle, CRNA
-
Christina Fang, CRNP
-
Darrel C Freeman, CRNA
-
Denese Gaughan, CRNP
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Endocentre of Baltimore
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090130000514 | MD | Part B Supplier - Ambulatory Surgical Center | 7315024676 | Practice locations: Baltimore, MD |
National Provider Directory
Locations
1838 Greene Tree Rd
Ste 18
Baltimore, MD 21208
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
1838 Greene Tree Rd
Suite 180
Baltimore, MD 21208-6391
Mailing address
1A Burton Hills Blvd # L&C
Nashville, TN 37215-6187
Phone (615) 665-1283
Other names
- EndoCentre of Baltimore
Other providers in Baltimore, MD
- Pikesville Adult Day Care
- Pikesville Health Services LLC
- Pikesville Health Services LLC
- Pikesville Health Services LLC
- Pikesville Health Services LLC
- Pikesville Pediatrics, LLC
- Pikesville Senior Living LLC
- Andrew Pikounis
- Ellen Pil
- Gary Pilarchik
All providers in Baltimore, MD · Ambulatory Surgical Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.