NPIMap

Organization Active NPI

Salvatore Dimercurio MD PA

  • Ambulatory Surgical Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1164601696
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SALVATORE DIMERCURIO MD PA
Practice address
11110 Medical Campus Rd
Suite 241
Hagerstown, MD 21742-6700
Phone
(301) 714-4460
Fax
(301) 714-4461
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Dr. Salvatore Dimercurio, MD
Title
President
Phone
(301) 714-4460

Specialties & licenses 1

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

Addresses

Primary practice location

11110 Medical Campus Rd
Suite 241
Hagerstown, MD 21742-6700

Mailing address

11110 Medical Campus Rd
Suite 241
Hagerstown, MD 21742-6700
Phone (301) 714-4460

Other identifiers 1

IdentifierTypeStateIssuer
647731300MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1164601696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 241",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-714-4460",
            "fax_number": "301-714-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 241",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-714-4460",
            "fax_number": "301-714-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATORE DIMERCURIO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "DIMERCURIO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-714-4460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "647731300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.