NPIMap

Organization Active NPI

Nisenfeld & Chilton, MD PA

Doing business as Orthopaedic Associates of Frederick, ASC

  • Ambulatory Surgical Clinic/Center
  • Frederick, MD
National Provider Identifier
1114177417
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1269 Issued in MD
Legal business name
NISENFELD & CHILTON, MD PA
Doing business as
Orthopaedic Associates of Frederick, ASC
Practice address
86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone
(301) 694-8311
Fax
(301) 694-3537
NPI assigned
Sep 23, 2008
Last updated
Mar 21, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
NISENFELD AND CHILTON, MD, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Mr. Quinten Davis
Title
Chief Operating Officer
Phone
(301) 694-8311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1269 MD Primary

Addresses

Primary practice location

86 Thomas Johnson CT
Frederick, MD 21702-4348

Mailing address

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (301) 694-8311

Other names 1

  • Orthopaedic Associates of Frederick, ASC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051213000160 MD Part B Supplier - Ambulatory Surgical Center 4082693577 Practice locations: Frederick, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114177417. Details of each certification follow.

Ambulatory surgical center certification: CCN 21C0001269

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ORTHOPAEDIC ASSOCIATES OF FREDERICK ASC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Nov 12, 1997
Last certification
Feb 15, 2019
Ownership / control type
Proprietary
Facility address
86 Thomas Johnson Court
Frederick, MD 21702

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Nisenfeld Chilton MD P5 organizations share this tax ID, including this one
Part of
Nisenfeld Chilton MD P

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1114177417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 THOMAS JOHNSON CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024348",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 THOMAS JOHNSON CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024348",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISENFELD & CHILTON, MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NISENFELD AND CHILTON, MD, PA",
        "enumeration_date": "2008-09-23",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "QUINTEN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "301-694-8311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Associates of Frederick, ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.