Maryland Surgeons Center of Columbia

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1463 Issued in MD

Legal business name

MARYLAND SURGEONS CENTER OF COLUMBIA

Practice address

11055 Little Patuxent Pky
Suite L-6
Columbia, MD 21044

Phone

(410) 730-9775

Fax

(410) 730-9777

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keith D Falcao, M.D.

Title

President

Phone

(410) 719-0090

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Mark Thomas Matsunaga, MD

  • Pain Medicine (Anesthesiology) Physician
  • Columbia, MD
  • NPI 1962409656
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1104851088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 156",
            "city": "LIBERTYTOWN",
            "state": "MD",
            "postal_code": "21762",
            "telephone_number": "301-898-0046",
            "fax_number": "301-898-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 LITTLE PATUXENT PKY",
            "address_2": "SUITE L-6",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "410-730-9775",
            "fax_number": "410-730-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND SURGEONS CENTER OF COLUMBIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "FALCAO",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-719-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414614000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryland Primary Care Physicians, LLC
• Maryland Sportscare & Rehab LLC
• Maryland Sportscare & Rehab LLC
• Maryland Sportscare & Rehab, LLC (Pivot Physical Therapy)
• Maryland Sportscare & Rehab, LLC (Pivot Physical Therapy)
• Maryland Surgeons PA
• Maryland Treatment Centers, Inc. (Mountain Manor- Columbia)
• Maryland Vein Professionals, LLC
• Maryland Weight Care, LLC
• Maryland Wellness and Rehabilitation LC

• Ambulatory Surgical Clinic/Center in Columbia, MD
• Providers in Columbia, 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 Dec 17, 2008; 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.