NPIMap

Organization Active NPI

Bayside Surgical Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Pasadena, MD
National Provider Identifier
1407967706
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1167 Issued in MD
Legal business name
BAYSIDE SURGICAL CENTER, INC.
Practice address
8023 Ritchie Hwy
Pasadena, MD 21122-7107
Phone
(410) 761-4190
Fax
(410) 761-0265
NPI assigned
Aug 31, 2006
Last updated
Jun 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Dr. Ross Samuel Cohen, D.P.M.NPI 1548268485
Title
President
Phone
(410) 761-4190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1167 MD Primary

Addresses

Primary practice location

8023 Ritchie Hwy
Pasadena, MD 21122-7107

Mailing address

8023 Ritchie Hwy
Pasadena, MD 21122-7107
Phone (410) 761-4190

Other identifiers 2

IdentifierTypeStateIssuer
02APOtherMDCAREFIRST BS PROV NUMBER
MT8OtherMDBS FEDERAL PROV NUMBER

National Provider Directory

National Provider Directory

Locations

8023 Ritchie Hwy
Pasadena, MD 21122
Phone (410) 761-3338

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1407967706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227107",
            "telephone_number": "410-761-4190",
            "fax_number": "410-761-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227107",
            "telephone_number": "410-761-4190",
            "fax_number": "410-761-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE SURGICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-761-4190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BS PROV NUMBER",
            "identifier": "02AP",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS FEDERAL PROV NUMBER",
            "identifier": "MT8",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.