Arundel Mills Surgery Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1552 Issued in MD

Legal business name

ARUNDEL MILLS SURGERY CENTER, INC.

Practice address

7550 Teague Rd
Suite 105
Hanover, MD 21076-1339

Phone

(410) 590-4313

Fax

(410) 590-4314

NPI assigned

Apr 9, 2013

Last updated

May 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Salman Ashruf, M.D.

Title

Director

Phone

(410) 590-4313

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114360138. Details of each certification follow.

• CCN 21C0001552 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 21C0001552

Legal name

ARUNDEL MILLS SURGERY CENTER, INC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Mar 24, 2014

Last certification

Feb 15, 2019

Ownership / control type

Proprietary

Facility address

7550 Teague Road Suite 105
Hanover, MD 21076

Locations

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1114360138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210900384",
            "telephone_number": "410-590-4313",
            "fax_number": "410-590-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 TEAGUE RD",
            "address_2": "SUITE 105",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761339",
            "telephone_number": "410-590-4313",
            "fax_number": "410-590-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNDEL MILLS SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "ASHRUF",
        "authorized_official_first_name": "SALMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-590-4313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "341713",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Anders, ATC
• Jordan Ali Anderson
• Reddy V Annappareddy, RPH
• Pablo Christian Argeles, M.D.
• Kaleigh-Clare Johnson Arlint
• Charlotte Ashu, FNP-C
• Philomena Atekwane
• Ati Holding LLC (ATI Physical Therapy)
• Ati Holdings, LLC (ATI Physical Therapy Hanover-Severn)
• Mankah Awasom

• Ambulatory Surgical Clinic/Center in Hanover, MD
• Providers in Hanover, 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 May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.