Galleria Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1040 Issued in MD

Legal business name

GALLERIA SURGERY CENTER LLC

Practice address

1140 Conrad Court
Hagerstown, MD 21740

Phone

(301) 791-1800

Fax

(301) 791-9253

NPI assigned

Aug 21, 2007

Last updated

Apr 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Reginato

Title

Office Manager

Phone

(301) 791-1800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Galleria Surgery Center LLCCCN 21C0001040

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Henry Fernando Garazo, MD

  • Plastic Surgery Physician
  • Hagerstown, MD
  • NPI 1558359653
  NPD

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1225221435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 CONRAD COURT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "301-791-1800",
            "fax_number": "301-791-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 CONRAD COURT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "301-791-1800",
            "fax_number": "301-791-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERIA SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "REGINATO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-791-1800"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Lynn Gable, MA, LCPC
• Gagnon Oncology, LLC
• Tanveer Gaibi
• Kimberly Anne Gailmard, APRN
• Martin William Gallagher Jr., MD
• Marc M Gamerman, D.C.
• Ali Vaez Gammi, CCC.SLP
• Maricris Gamueda
• Brandon Hamilton Ganz, LCSW
• Henry Fernando Garazo, MD

• Ambulatory Surgical Clinic/Center in Hagerstown, MD
• Providers in Hagerstown, 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 Apr 24, 2024; 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.