Timonium Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TIMONIUM ENDOSCOPY CENTER LLC

Practice address

1212 York Rd Ste B101
Lutherville, MD 21093-6233

Phone

(410) 290-6677

Fax

(410) 290-6676

NPI assigned

Sep 1, 2023

Organization subpart

No

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

Authorized official

Name

Zachary Jones

Title

Ceo

Phone

(207) 631-7837

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Ambulatory surgical center certification: CCN 21C0001678

Legal name

Timonium Endoscopy Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jun 28, 2024

Last certification

Jun 28, 2024

Ownership / control type

Proprietary

Facility address

1212 York Rd, Suite B101
Lutherville, MD 21093

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1407632847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455274",
            "telephone_number": "410-290-6677",
            "fax_number": "410-290-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 YORK RD STE B101",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936233",
            "telephone_number": "410-290-6677",
            "fax_number": "410-290-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMONIUM ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-631-7837"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Lutherville, MD
• Providers in Lutherville, 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 Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.