Surgery Center of Easton LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1236 Issued in MD

Legal business name

SURGERY CENTER OF EASTON LP

Practice address

510 Idlewild Ave
Suite 110
Easton, MD 21601-3881

Phone

(410) 820-4470

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melody Dawn Hargrove, RN

Title

Administrator

Phone

(410) 820-4470

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HealthSouth Surgery Center of Easton, L.P. Former legal business name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Surgery Center of Easton LPCCN 21C0001236

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1093786501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE",
            "address_2": "SUITE 110",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013824",
            "telephone_number": "410-820-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE",
            "address_2": "SUITE 110",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013881",
            "telephone_number": "410-820-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF EASTON LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "HARGROVE",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-820-4470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "062Z",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "975500400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSouth Surgery Center of Easton, L.P.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Antoinette Roth Sullivan, ED.D., LCPC, ACS
• Katie Jo Sullivan, NP
• Steven W Sullivan, PA-C
• Sunnyside Recovery, LLC
• Sunrise Counseling - Positive and Caring - It Is Your Time LLC (Sunrise Counseling - Positive and Caring -It Is Your Time)
• Susan Knade LLC
• Susan T Forlifer, MD LLC
• Grace Suvoy
• Kelly Swann, DPT
• Ronald C Sweet, M.D.

• Ambulatory Surgical Clinic/Center in Easton, MD
• Providers in Easton, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.