Organization Active NPI

Montgomery Surgery Center Limited Partnership

  • Ambulatory Surgical Clinic/Center
  • Rockville, MD
National Provider Identifier
1437120953
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MONTGOMERY SURGERY CENTER LIMITED PARTNERSHIP
Practice address
46 W Gude Dr
Rockville, MD 20850-1190
Phone
(301) 424-6901
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Lea Harbor
Title
VP
Phone
(205) 545-2572

Specialties & licenses 1

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

Addresses

Primary practice location

46 W Gude Dr
Rockville, MD 20850-1190

Mailing address

46 W Gude Dr
Rockville, MD 20850-1190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070922000257 DC Part B Supplier - Ambulatory Surgical Center 3971697855 Practice locations: Rockville, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Montgomery Surgery Center Limited Partnership Dba Montgomery Surgery CenterCCN 21C0001213

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Montgomery Surgery Center Limited PartnershipCCN 21C0001008
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0663852Montgomery Surgery Center46 West Gude Drive, Rockville, MD 20850Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

46 W Gude Dr
Unit 50
Rockville, MD 20850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1437120953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 W GUDE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 W GUDE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501190",
            "telephone_number": "301-424-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY SURGERY CENTER LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "HARBOR",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "205-545-2572"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.