Amber Meadow Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AMBER MEADOW SURGICAL CENTER, LLC

Practice address

186 Thomas Johnson Dr Ste 104
Frederick, MD 21702-4471

Phone

(301) 606-0551

Fax

(301) 606-1958

NPI assigned

Jun 17, 2024

Organization subpart

Yes

Parent organization

AMBER MEADOW SURGERY CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Mohammed Haseebuddin, MDNPI 1174750970

Title

President

Phone

(301) 606-0551

Specialties & licenses 1

Addresses

Part of

Amber Meadow Surgical Center LLC

Locations

Practitioners 1

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

• Mohammed Haseebuddin, M.D.

  • Urology Physician
  • Frederick, MD
  • NPI 1174750970
  NPD Authorized official

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1225871478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 THOMAS JOHNSON DR STE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024471",
            "telephone_number": "301-606-0551",
            "fax_number": "301-606-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 THOMAS JOHNSON DR STE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024471",
            "telephone_number": "301-606-0551",
            "fax_number": "301-606-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER MEADOW SURGICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMBER MEADOW SURGERY CENTER, LLC",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "HASEEBUDDIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-606-0551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Seed Altman, LCSW-C
• Rachel Altvater, PSY.D., RPT-S
• Bennoni Amarh Amartey
• Amber Groomes, PH.D., LLC
• Amber Hill Physical Therapy, Inc.
• Amber Meadows Chiropractic
• Zepur Ambrose, LCSW-C
• Julie Anne Ambrosy, DPT
• Ambulatory Center for Aesthetic and Reconstructive Surgery
• Jennilee O Ambush, OT

• Ambulatory Surgical Clinic/Center in Frederick, MD
• Providers in Frederick, 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 Jun 28, 2024; 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.