NPIMap

Organization Active NPI

Lockwood Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1154385813
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1189 Issued in MD
Legal business name
LOCKWOOD AMBULATORY SURGERY CENTER
Practice address
10801 Lockwood Dr
Suite 260
Silver Spring, MD 20901-1556
Phone
(301) 924-5044
Fax
(301) 924-5933
NPI assigned
Apr 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Christopher P. Farnworth, DPMNPI 1932104759
Title
President
Phone
(301) 924-5044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1189 MD Primary

Addresses

Primary practice location

10801 Lockwood Dr
Suite 260
Silver Spring, MD 20901-1556

Mailing address

10801 Lockwood Dr
Suite 260
Silver Spring, MD 20901-1556
Phone (301) 924-5044

Other names 1

  • GROMAN & RUBIN AMBULATORY SURGERY CENTER Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081027000107 DC Part B Supplier - Ambulatory Surgical Center 4587722145 1 other NPI on this enrollment
Practice locations: Silver Spring, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Lockwood Ambulatory Surgery CenterCCN 21C0001189
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Groman Rubin Ambulatory Surgery Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

344 University Blvd W
Ste 110
Silver Spring, MD 20901
Phone (301) 439-0300

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1154385813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR",
            "address_2": "SUITE 260",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-924-5044",
            "fax_number": "301-924-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR",
            "address_2": "SUITE 260",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-924-5044",
            "fax_number": "301-924-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKWOOD AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "FARNWORTH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-924-5044",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GROMAN & RUBIN AMBULATORY SURGERY CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.