NPIMap

Organization Active NPI

Family Footcare Ambulatory Surgery Center, LLC

Doing business as Dundalk Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Dundalk, MD
National Provider Identifier
1306063177
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
M00338 Issued in MD
Legal business name
FAMILY FOOTCARE AMBULATORY SURGERY CENTER, LLC
Doing business as
Dundalk Ambulatory Surgery Center, LLC
Practice address
1123 Merritt Blvd
Dundalk, MD 21222-1438
Phone
(410) 363-4343
Fax
(410) 356-6373
NPI assigned
Apr 20, 2007
Last updated
Nov 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Authorized official

Name
Mikel Daniels, DPMNPI 1730185091
Title
Owner
Phone
(410) 363-4343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X M00338 MD Primary

Addresses

Primary practice location

1123 Merritt Blvd
Dundalk, MD 21222-1438

Mailing address

20 Crossroads Dr Ste 15
Owings Mills, MD 21117-5479
Phone (410) 363-4343

Other names 1

  • DUNDALK AMBULATORY SURGERY CENTER, LLC Doing business as

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Dundalk Ambulatory Surg CNTRCCN 21C0001020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1306063177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR STE 15",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175479",
            "telephone_number": "410-363-4343",
            "fax_number": "410-356-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 MERRITT BLVD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221438",
            "telephone_number": "410-363-4343",
            "fax_number": "410-356-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOTCARE AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "MIKEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-363-4343",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "M00338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUNDALK AMBULATORY SURGERY CENTER, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.