West Annapolis Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WEST ANNAPOLIS SURGERY CENTER, LLC

Practice address

104 Ridgely Ave
Annapolis, MD 21401-1439

Phone

(410) 266-7102

Fax

(410) 266-6042

NPI assigned

Feb 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Henry D Sandel IV, M.D.NPI 1164624763

Title

Medical Director

Phone

(410) 266-7102

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

West Annapolis Surgery Center LLCCCN 21C0001582

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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

• Henry Daniel Sandel IV, M.D.

  • Facial Plastic Surgery Physician
  • Annapolis, MD
  • NPI 1164624763
  NPD (past) Authorized official

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1467844068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RIDGELY AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011439",
            "telephone_number": "410-266-7102",
            "fax_number": "410-266-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RIDGELY AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011439",
            "telephone_number": "410-266-7102",
            "fax_number": "410-266-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ANNAPOLIS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "SANDEL",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-266-7102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Wendorf
• Christine Werner Jovinelli, R.N.,
• Jeanine L Werner, M.D.
• Emily Margaret Weschler, LCSW-C
• Kyle Wesselman, PHARMD
• Logan West
• Madalynn West
• Ashley N. Westbrook, O.D.
• Sophie Clarisse Westfield
• Daniel Joshua Wetherbee, LCPC

• Ambulatory Surgical Clinic/Center in Annapolis, MD
• Providers in Annapolis, 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 Feb 19, 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.