Organization Active NPI

Anne Arundel-Sca Surgicenter, LLC

Doing business as AAMC Surgery Center - Annapolis

  • Ambulatory Surgical Clinic/Center
  • Annapolis, MD
National Provider Identifier
1154805646
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ANNE ARUNDEL-SCA SURGICENTER, LLC
Doing business as
AAMC Surgery Center - Annapolis
Practice address
904 Commerce Rd
Annapolis, MD 21401-2948
Phone
(240) 691-9311
NPI assigned
Sep 20, 2018
Last updated
Oct 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ANNE ARUNDEL-SCA SURGICENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Jennifer Ann Collins
Title
Ceo
Phone
(443) 270-8989

Specialties & licenses 1

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

Addresses

Primary practice location

904 Commerce Rd
Annapolis, MD 21401-2948

Mailing address

904 Commerce Rd
Annapolis, MD 21401-2948
Phone (410) 849-6140

Other names 1

  • AAMC Surgery Center - Annapolis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180905000215 MD Part B Supplier - Ambulatory Surgical Center 0840540373 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Annapolis, MD; Pasadena, 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
Anne Arundel Surgery Center AnnapolisCCN 21C0001627
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2163213Anne Arundel-Sca Surgicenter, LLC904 Commerce Rd, Annapolis, MD 21401Certificate of waiverMar 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Anne Arundel-Sca Surgictr2 organizations share this tax ID, including this one
Part of
Anne Arundel-Sca Surgictr

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1154805646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 COMMERCE RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012948",
            "telephone_number": "410-849-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 COMMERCE RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012948",
            "telephone_number": "240-691-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE ARUNDEL-SCA SURGICENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANNE ARUNDEL-SCA SURGICENTER, LLC",
        "enumeration_date": "2018-09-20",
        "last_updated": "2021-10-05",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-270-8989"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAMC Surgery Center - Annapolis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AAMC Surgery Center - Annapolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.