Active NPI
Ellicott City Ambulatory Surgery Center, LLLP
Doing business as Ellicott City Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Ellicott City, MD
National Provider Identifier
1114025608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- A1003R
- Legal business name
- ELLICOTT CITY AMBULATORY SURGERY CENTER, LLLP
- Doing business as
- Ellicott City Ambulatory Surgery Center
- Practice address
- 2850 North Ridge Road
Ellicott City, MD 21043 - Phone
- (410) 461-1600
- Fax
- (410) 750-7615
- NPI assigned
- Sep 20, 2006
- Last updated
- Jun 11, 2010
- 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
- Mrs. Maureen G Hartley, RN
- Title
- Administrator
- Phone
- (410) 461-1600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | A1003R | MD | Primary |
Addresses
Primary practice location
2850 North Ridge Road
Ellicott City, MD 21043
Mailing address
2850 North Ridge Road
Ellicott City, MD 21043
Phone (410) 461-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410706300 | Medicaid | MD |
Other names 1
- Ellicott City Ambulatory Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050520000032 | MD | Part B Supplier - Ambulatory Surgical Center | 9537100458 | Practice locations: Ellicott City, MD |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Ellicott City Ambulatory Surgery Center LLLP
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Orthopaedic Surgery Physician
- Catonsville, MD
- NPI 1336174309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276214400000",
"number": "1114025608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 NORTH RIDGE ROAD",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "21043",
"telephone_number": "410-461-1600",
"fax_number": "410-750-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 NORTH RIDGE ROAD",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "21043",
"telephone_number": "410-461-1600",
"fax_number": "410-750-7615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLICOTT CITY AMBULATORY SURGERY CENTER, LLLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2010-06-11",
"status": "A",
"authorized_official_last_name": "HARTLEY",
"authorized_official_first_name": "MAUREEN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "410-461-1600",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MD",
"license": "A1003R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410706300",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ellicott City Ambulatory Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ellicott City, MD
- Elizabeths Home Care Services LLC
- Mohamed Elkady
- Jacquelyn Kiser Elkins, LCSW-C
- Ellicott Cir Acupuncture LLC
- Ellicott City Aesthetics LLC
- Ellicott City Anesthesia Associates, LLC
- Ellicott City Dialysis Center LLC
- Ellicott City Eye Care, Inc.
- Ellicott City Health LLC
- Ellicott City Nursing and Rehab Center LLC (Ellicott City Healthcare Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.