Surgcenter of Northern Baltimore, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGCENTER OF NORTHERN BALTIMORE, LLC

Practice address

215 Schilling Cir Ste 110-112
Hunt Valley, MD 21031-1108

Phone

(410) 657-8008

Fax

(410) 657-8006

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Sam Pigg

Title

Business Office Manager

Phone

(410) 657-8008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Surgcenter of Northern Baltimore LLCCCN 21C0001612

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Thomas J Raley, MD

  • Orthopaedic Surgery Physician
  • Stafford, VA
  • NPI 1518967207
  NPD (past)

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1184106049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GARRISON FARMS CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081847",
            "telephone_number": "410-657-8008",
            "fax_number": "410-657-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SCHILLING CIR STE 110-112",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311108",
            "telephone_number": "410-657-8008",
            "fax_number": "410-657-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGCENTER OF NORTHERN BALTIMORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "PIGG",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "410-657-8008"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Stone, LMSW
• Courtney Sturgill
• Cynthia Suarez
• Nevada Sullivan
• Chakia Sumpter
• Donna Swain Shin, MS
• Xavier Swingler
• Symphony Diagnostic Services No 1 LLC (MobilexUSA)
• Karren Takamura, MD
• Tiesha Talkish

• Ambulatory Surgical Clinic/Center in Hunt Valley, MD
• Providers in Hunt Valley, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.