Organization Active NPI

NSPC Surgery Center of Frederick, LLC

  • Ambulatory Surgical Clinic/Center
  • Frederick, MD
National Provider Identifier
1104639509
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NSPC SURGERY CENTER OF FREDERICK, LLC
Practice address
75 Thomas Johnson Dr Ste C
Frederick, MD 21702-4895
Phone
(301) 620-0012
Fax
(301) 620-9687
NPI assigned
Jan 29, 2025
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Yeshvant Navalgund, MDNPI 1558354738
Title
Chief Medical Officer
Phone
(855) 836-7246

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

75 Thomas Johnson Dr Ste C
Frederick, MD 21702-4895

Mailing address

5280 Corporate Dr Ste C250
Frederick, MD 21703-8508

National Provider Directory

National Provider Directory

Locations

5280 Corporate Dr
Ste C250
Frederick, MD 21703

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1104639509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 CORPORATE DR STE C250",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 THOMAS JOHNSON DR STE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024895",
            "telephone_number": "301-620-0012",
            "fax_number": "301-620-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSPC SURGERY CENTER OF FREDERICK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "NAVALGUND",
        "authorized_official_first_name": "YESHVANT",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "855-836-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.