Eye Surgicalcenter Associates of Baltimore

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1150 Issued in MD

Legal business name

EYE SURGICALCENTER ASSOCIATES OF BALTIMORE

Doing business as

Surgicenter at Towson

Practice address

1122 Kenilworth Dr
Suite 18
Towson, MD 21204-2139

Phone

(410) 321-4400

Fax

(410) 321-4909

NPI assigned

Mar 5, 2007

Last updated

Aug 22, 2020By 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

Ms. Marjorie J Christ, RN, MS

Title

Administrator

Phone

(410) 321-4400

Specialties & licenses 1

Addresses

Other names 1

• Surgicenter at Towson Doing business as

Tax ID family

Eye Surgical Center of Baltimore LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eye Surgical Center of Baltimore, LLC.

  • Ambulatory Surgical Clinic/Center
  • Towson, MD
  • NPI 1558492496
  NPD tax ID

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427187285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR",
            "address_2": "SUITE 18",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042139",
            "telephone_number": "410-321-4400",
            "fax_number": "410-321-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR",
            "address_2": "SUITE 18",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042139",
            "telephone_number": "410-321-4400",
            "fax_number": "410-321-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGICALCENTER ASSOCIATES OF BALTIMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRIST",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-321-4400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgicenter at Towson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Examassure, LLC
• Excellis Incorporated
• Extra Professional Staffing, Inc. (Extra Pofessional Nursing Referral Services)
• Eye Care Associates of MD, LLC
• Eye Surgical Center of Baltimore, LLC.
• Amanda Fabian, DNP, CRNA, CCRN
• Kurrel Fabian
• Oreoluwa Fabiyi
• Mary Anne Facciolo, MD
• Faces Enterprises Towson LTD (About Faces Day Spa & Salon of Towson)

• Ambulatory Surgical Clinic/Center in Towson, MD
• Providers in Towson, 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 22, 2020; 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.