Laser Surgery Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1080 Issued in MD

Legal business name

LASER SURGERY CENTER, INC

Practice address

484 Ritchie Hwy Ste a
Severna Park, MD 21146-2961

Phone

(410) 544-4600

Fax

(410) 544-0997

NPI assigned

May 19, 2009

Last updated

May 19, 2009By 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

Ross J Vanantwerp, D.O., M.P.HNPI 1790924512

Title

President

Phone

(410) 544-4600

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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.

• Ross J Vanantwerp, D.O., M.P.H.

  • Internal Medicine Physician
  • Annapolis, MD
  • NPI 1790924512
  Authorized official Same address or phone

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1487889531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 RITCHIE HWY STE A",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462961",
            "telephone_number": "410-544-4600",
            "fax_number": "410-544-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 RITCHIE HWY STE A",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462961",
            "telephone_number": "410-544-4600",
            "fax_number": "410-544-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "VANANTWERP",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-544-4600",
        "authorized_official_credential": "D.O., M.P.H"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Eileen Kyle, OTR
• Hayley Lala, PT, DPT
• Kelly Lynne Land, PHARM.D.
• Lauren Renae Laque, LSCW-C
• Aurelia Larrimore, LMSW
• Kevin Lawrence Laser, MD
• Laura Groft, PHD, LLC (Wellshore Psychology)
• Laura Reagan LCSW-C Psychotherapy Services, LLC
• Laura Reagan Lcswc Psychotherapy Services, LLC (Baltimore Annapolis Center for Integrative Healing)
• Megan E Lautz, MS, RDN

• Ambulatory Surgical Clinic/Center in Severna Park, MD
• Providers in Severna Park, 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 May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.