Gynemed Surgical Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

A1165 Issued in MD

Legal business name

GYNEMED SURGICAL CENTER

Practice address

17 Fontana LN
Suite 201
Baltimore, MD 21237-3042

Phone

(410) 391-1000

Fax

(410) 391-0943

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Michael O'Neil, M.D.

Title

Medical Director

Phone

(410) 391-1000

Specialties & licenses 1

Addresses

Tax ID family

Gynemed Surgical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gynemed Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
  • NPI 1487871331
  NPD tax ID

Locations

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1295946820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FONTANA LN",
            "address_2": "SUITE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373042",
            "telephone_number": "410-391-1000",
            "fax_number": "410-391-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FONTANA LN",
            "address_2": "SUITE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373042",
            "telephone_number": "410-391-1000",
            "fax_number": "410-391-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNEMED SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-391-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MD",
            "license": "A1165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prashant Gyawali, MD
• Arnita L. Gyenyame, RPH
• Ashley Gyer, DNP-PMHNP
• Alex Athan Gyftopoulos, M.D.
• Richard Gyi, D.O.
• Gynemed Surgical Center
• Tina Ha-Johnson, CRNP
• Hyerim Ha
• Jinny Suk Ha, MD
• Micky Ha, R.PH.

• Multi-Specialty Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Multi-Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.