Organization Active NPI

Cec Surgical Services, LLC

  • Ambulatory Surgical Clinic/Center
  • Salisbury, MD
National Provider Identifier
1194163576
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CEC SURGICAL SERVICES, LLC
Practice address
1414 S Salisbury Blvd
Salisbury, MD 21801-7127
Phone
(410) 749-1191
Fax
(410) 749-6111
NPI assigned
Jun 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Mr. Ronald Edward Haselnus
Title
Manager
Phone
(410) 749-1191

Specialties & licenses 1

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

Addresses

Primary practice location

1414 S Salisbury Blvd
Salisbury, MD 21801-7127

Mailing address

105 Pine Bluff Rd
Salisbury, MD 21801-7160
Phone (410) 749-1191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130917000380 MD Part B Supplier - Ambulatory Surgical Center 2466696232 Receives reassigned benefits from 2 practitioners
Practice locations: Salisbury, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Cec Surgical Services LLCCCN 21C0001549
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
21D2063362Cec Surgical Services LLC1414 South Salisbury Blvd, Salisbury, MD 21801Certificate of waiverJul 31, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

105 Pine Bluff Rd
Salisbury, MD 21801
Phone (410) 543-1144

Practitioners & affiliated clinicians

Practitioners 8

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": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1194163576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PINE BLUFF RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017160",
            "telephone_number": "410-749-1191",
            "fax_number": "410-749-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S SALISBURY BLVD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017127",
            "telephone_number": "410-749-1191",
            "fax_number": "410-749-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEC SURGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "HASELNUS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-749-1191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.