NPIMap

Organization Active NPI

Quince Orchard Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1477745883
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
QUINCE ORCHARD SURGERY CENTER, LLC
Practice address
900 Wind River Lane
Suite 106
Gaithersburg, MD 20878
Phone
(301) 977-1851
Fax
(301) 977-1853
NPI assigned
Aug 10, 2007
Last updated
Jan 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Dr. Dong Soo Hwang, M.D.NPI 1457440075
Title
Owner/Ceo
Phone
(301) 977-1851

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 NU Primary

Addresses

Primary practice location

900 Wind River Lane
Suite 106
Gaithersburg, MD 20878

Mailing address

900 Wind River Lane
Suite 106
Gaithersburg, MD 20878
Phone (301) 977-1851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477745883. Details of each certification follow.

Ambulatory surgical center certification: CCN 21C0001486

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
QUINCE ORCHARD SURGERY CENTER, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Feb 24, 2009
Last certification
Jun 3, 2021
Ownership / control type
Proprietary
Facility address
900 Wind River Lane, Suite 106
Gaithersburg, MD 20878

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1477745883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WIND RIVER LANE",
            "address_2": "SUITE 106",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20878",
            "telephone_number": "301-977-1851",
            "fax_number": "301-977-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WIND RIVER LANE",
            "address_2": "SUITE 106",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20878",
            "telephone_number": "301-977-1851",
            "fax_number": "301-977-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCE ORCHARD SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "301-977-1851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.