Organization Active NPI

Cumberland Urology ASC, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Cumberland, MD
National Provider Identifier
1396073797
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CUMBERLAND UROLOGY ASC, L.L.C.
Practice address
217 Glenn St
Suite 401
Cumberland, MD 21502-2460
Phone
(301) 722-7080
Fax
(301) 722-7081
NPI assigned
Nov 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Dr. Prabhakar Pandey, M.D.
Title
Director
Phone
(301) 722-7080

Specialties & licenses 1

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

Addresses

Primary practice location

217 Glenn St
Suite 401
Cumberland, MD 21502-2460

Mailing address

217 Glenn St
Suite 401
Cumberland, MD 21502-2460
Phone (301) 722-7080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1396073797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GLENN ST",
            "address_2": "SUITE 401",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022460",
            "telephone_number": "301-722-7080",
            "fax_number": "301-722-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GLENN ST",
            "address_2": "SUITE 401",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022460",
            "telephone_number": "301-722-7080",
            "fax_number": "301-722-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND UROLOGY ASC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "PANDEY",
        "authorized_official_first_name": "PRABHAKAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-722-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.