Organization Active NPI

American Surgical Associates LLC

  • Specialist
  • Leonardtown, MD
National Provider Identifier
1417929928
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AMERICAN SURGICAL ASSOCIATES LLC
Practice address
25480 Point Lookout Rd
Leonardtown, MD 20650-3801
Phone
(301) 997-0121
Fax
(301) 997-0280
NPI assigned
Feb 7, 2006
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Margie Jordan
Title
Office Manger
Phone
(301) 997-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

25480 Point Lookout Rd
Leonardtown, MD 20650-3801

Mailing address

25480 Point Lookout Rd
Leonardtown, MD 20650-3801
Phone (301) 997-0121

Other identifiers 1

IdentifierTypeStateIssuer
403411201MedicaidMD

National Provider Directory

National Provider Directory

Locations

25480 Point Lookout Rd
Bldg 1
Leonardtown, MD 20650
Phone (301) 997-0121

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": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1417929928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25480 POINT LOOKOUT RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503801",
            "telephone_number": "301-997-0121",
            "fax_number": "301-997-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25480 POINT LOOKOUT RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503801",
            "telephone_number": "301-997-0121",
            "fax_number": "301-997-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "301-997-0909"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403411201",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.