NPIMap

Organization Active NPI

Johns Hopkins Surgery Centers Series

  • Ambulatory Surgical Clinic/Center
  • Lutherville, MD
National Provider Identifier
1316406523
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
JOHNS HOPKINS SURGERY CENTERS SERIES
Practice address
10803 Falls Rd Ste 3100
Lutherville, MD 21093-4502
Phone
(410) 616-7650
Fax
(410) 616-7651
NPI assigned
Mar 18, 2019
Last updated
Mar 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Dr. Lisa Ishii
Title
Authorized Official
Phone
(410) 583-7185

Specialties & licenses 1

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

Addresses

Primary practice location

10803 Falls Rd Ste 3100
Lutherville, MD 21093-4502

Mailing address

10803 Falls Road, Pavillion 3
Suite 2500 C/O Lisa Ishii
Lutherville, MD 20193-2358
Phone (410) 583-7185

Other names 1

  • Green Spring Station Surgery Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190429001070 MD Part B Supplier - Ambulatory Surgical Center 3476642539 Practice locations: Lutherville, MD

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Johns Hopkins Surgery Center SeriesCCN 21C0001618
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2165406Johns Hopkins Surgery Centers Series Dba Green SPR10803 Falls Road Suite 3100, Lutherville, MD 21093Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Johns Hopkins Surgery Centers Series7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1316406523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803 FALLS ROAD, PAVILLION 3",
            "address_2": "SUITE 2500 C/O LISA ISHII",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "201932358",
            "telephone_number": "410-583-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10803 FALLS RD STE 3100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934502",
            "telephone_number": "410-616-7650",
            "fax_number": "410-616-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS HOPKINS SURGERY CENTERS SERIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "ISHII",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "410-583-7185",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Spring Station Surgery Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Green Spring Station Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.