Mason Dixon Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MASON DIXON SURGERY CENTER LLC

Practice address

10212 Governor Lane Blvd
Williamsport, MD 21795-4086

Phone

(301) 733-4200

Fax

(301) 223-7121

NPI assigned

Aug 30, 2015

Last updated

Aug 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David J Ludwick, MD

Title

Owner

Phone

(717) 262-9711

Specialties & licenses 1

Addresses

Locations

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.

• Adam Theodore Gerstenblith, MD

  • Retina Specialist (Ophthalmology) Physician
  • Hagerstown, MD
  • NPI 1265654875
  NPD (past)

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440892800000",
    "number": "1386011963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 GOVERNOR LANE BLVD",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217954086",
            "telephone_number": "301-733-4200",
            "fax_number": "301-223-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 GOVERNOR LANE BLVD",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217954086",
            "telephone_number": "301-733-4200",
            "fax_number": "301-223-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON DIXON SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-30",
        "last_updated": "2015-08-30",
        "status": "A",
        "authorized_official_last_name": "LUDWICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-262-9711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Ann Lebarron, LCPC
• Jeri Annette Lee-Pride, OTR
• Krista Liller, OTR/L
• Joseph Love, CRNP-PMH, PMHNP-BC
• Ludwick Laser & Surgery Center, LLC
• Susan N McCarthy
• Jamie Auxt McElwee, MS, CCC/SLP
• Meagan Marie McNulty
• Mdics Rehabilitative Services - Ltcaco LLC
• Mdics Rehabilitative Services LLC

• Ambulatory Surgical Clinic/Center in Williamsport, MD
• Providers in Williamsport, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2015; 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.