NPIMap

Organization Active NPI

Mohs and Skin Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lutherville, MD
National Provider Identifier
1124492996
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MOHS AND SKIN SURGERY CENTER, LLC
Practice address
1447 York Rd
Suite 301
Lutherville, MD 21093-6017
Phone
(410) 252-9090
Fax
(410) 494-7064
NPI assigned
Nov 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Dr. Saif Syed, M.D.NPI 1053363341
Title
Director
Phone
(410) 252-9090

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 MD Primary

Addresses

Primary practice location

1447 York Rd
Suite 301
Lutherville, MD 21093-6017

Mailing address

1447 York Rd
Suite 301
Lutherville, MD 21093-6017
Phone (410) 252-9090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170420002410 MD Part B Supplier - Ambulatory Surgical Center 1254617608 Receives reassigned benefits from 1 practitioner
Practice locations: Lutherville, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Mohs and Skin Surgery Center LLCCCN 21C0001586
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1447 York Rd
Ste 301
Lutherville Timonium, MD 21093
Phone (410) 252-9090

Practitioners & affiliated clinicians

Practitioners 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1124492996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 YORK RD",
            "address_2": "SUITE 301",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936017",
            "telephone_number": "410-252-9090",
            "fax_number": "410-494-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 YORK RD",
            "address_2": "SUITE 301",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936017",
            "telephone_number": "410-252-9090",
            "fax_number": "410-494-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHS AND SKIN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "SAIF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-252-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.

Verify at the official NPI Registry.