Active NPI
Greater Chesapeake Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Lutherville, MD
National Provider Identifier
1295775880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- A1057
- Legal business name
- GREATER CHESAPEAKE SURGERY CENTER LLC
- Practice address
- 1212 York Rd
Lutherville, MD 21093-6233 - Phone
- (410) 821-0009
- Fax
- (410) 821-0140
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lauri Lynn Kelly, R.N.
- Title
- Administrator
- Phone
- (410) 821-0009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | A1057 | MD | Primary |
Addresses
Primary practice location
1212 York Rd
Lutherville, MD 21093-6233
Mailing address
1212 York Road
B101
Lutherville, MD 21093-6233
Phone (410) 821-0009
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 625540000 | Medicaid | MD | |
| 099Z | Other | MD | MEDICARE ID |
Other names 1
- Greater Chesapeake Surgery Center
National Provider Directory
National Provider DirectoryLocations
1212 York Rd
Lutherville, MD 21093
Phone (410) 821-0009
1212 York Rd
#101
Lutherville, MD 21093
Phone (410) 821-0009
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1477597664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1295775880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 YORK ROAD",
"address_2": "B101",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936233",
"telephone_number": "410-821-0009",
"fax_number": "410-821-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 YORK RD",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936233",
"telephone_number": "410-821-0009",
"fax_number": "410-821-0140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER CHESAPEAKE SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "LAURI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "410-821-0009",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MD",
"license": "A1057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "625540000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "099Z",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Greater Chesapeake Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.