NPIMap

Organization Active NPI

MDP Surgery Center

  • Pain Clinic/Center
  • Elkton, MD
National Provider Identifier
1144608514
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
D0057974 Issued in MD
Legal business name
MDP SURGERY CENTER
Practice address
216 E Pulaski Hwy
120
Elkton, MD 21921-6497
Phone
(443) 490-4000
Fax
(443) 484-2831
NPI assigned
May 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Dr. Benjamin Lee, M.DNPI 1982692471
Title
Ceo
Phone
(443) 490-4000

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
Pain Clinic/Center 261QP3300X D0057974 MD Primary

Addresses

Primary practice location

216 E Pulaski Hwy
120
Elkton, MD 21921-6497

Mailing address

PO Box 404
Bel Air, MD 21014-0404
Phone (443) 490-4000

National Provider Directory

National Provider Directory

Locations

216 E Pulaski Hwy
Ste 120
Elkton, MD 21921
Phone (443) 490-4000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1144608514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210140404",
            "telephone_number": "443-490-4000",
            "fax_number": "443-484-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E PULASKI HWY",
            "address_2": "120",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216497",
            "telephone_number": "443-490-4000",
            "fax_number": "443-484-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDP SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-490-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MD",
            "license": "D0057974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

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