Gemini ASC Elkridge LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GEMINI ASC ELKRIDGE LLC

Practice address

6816 Deerpath Rd
Elkridge, MD 21075-6200

Phone

(410) 796-1577

Fax

(301) 703-8886

NPI assigned

Dec 7, 2017

Last updated

Dec 7, 2017By 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

Sudhir Rao, MDNPI 1629103759

Title

MD

Phone

(410) 796-1577

Specialties & licenses 1

Addresses

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.

• Sudhir R Rao, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Mount Airy, MD
  • NPI 1629103759
  NPD (past) Authorized official

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1285149567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 BACK ACRE CIR STE 290B",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717769",
            "telephone_number": "410-796-1577",
            "fax_number": "301-703-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 DEERPATH RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756200",
            "telephone_number": "410-796-1577",
            "fax_number": "301-703-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMINI ASC ELKRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "410-796-1577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Busayo Ganiyu
• Gabriela Elizabeth Gaona Barahona, LMSW
• Aram Singh Garewal, MD
• Gary a. Milles, M.D., P.a.
• Lynda Taylor Gaskill, RDH, BS
• Gemini Health Holdings LLC
• Gemini Health Holdings LLC
• Gemini Health Holdings LLC
• George Constantinopoulos OD and Associates. LLC
• Nardos Ghirmai

• Ambulatory Surgical Clinic/Center in Elkridge, MD
• Providers in Elkridge, 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 7, 2017; 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.