Landover Ambulatory Surgery, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1294 Issued in MD

Legal business name

LANDOVER AMBULATORY SURGERY, LP

Practice address

1300 Mercantile LN
Suite 190
Largo, MD 20774-5327

Phone

(301) 773-3338

Fax

(301) 773-3305

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Adaeze I. Obioha

Title

Administrative Director

Phone

(301) 773-3338

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Charles Afam Obioha, M.D.

  • Specialist
  • Rockville, MD
  • NPI 1235224270
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265522478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN",
            "address_2": "SUITE 190",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "301-773-3338",
            "fax_number": "301-773-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN",
            "address_2": "SUITE 190",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "301-773-3338",
            "fax_number": "301-773-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDOVER AMBULATORY SURGERY, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OBIOHA",
        "authorized_official_first_name": "ADAEZE",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "301-773-3338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A1294",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William L Kranzer, OD
• Surendra M Kumar, M.D.
• Dorene Kyando
• Lakewood Healthcare Center
• Maria Lamont, NP
• Danielle Langley
• Largo Nursing and Rehabilitation Center LLC
• Largo Nursing and Rehabilitation Center LLC
• Largo Wellness Center, LLC
• Larosiliere Dental Associates

• Ambulatory Surgical Clinic/Center in Largo, MD
• Providers in Largo, 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 Aug 22, 2020; 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.