Organization Active NPI

Greater Chesapeake Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Lutherville, MD
National Provider Identifier
1295775880
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1057 Issued in MD
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

Updated by the provider on Jun 25, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
625540000MedicaidMD
099ZOtherMDMEDICARE ID

Other names 1

  • Greater Chesapeake Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.