NPIMap

Organization Active NPI

River Reach Outpatient Surgery Center,LLC

  • Ambulatory Surgical Clinic/Center
  • Severna Park, MD
National Provider Identifier
1508825829
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
02A1025 Issued in MD
Legal business name
RIVER REACH OUTPATIENT SURGERY CENTER,LLC
Practice address
790 Ritchie Hwy
Suite E-35
Severna Park, MD 21146-4136
Phone
(410) 544-2487
Fax
(410) 544-1872
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Dr. James E. Chappell, M.D.NPI 1326022336
Title
Medical Director
Phone
(410) 544-2487

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 02A1025 MD Primary

Addresses

Primary practice location

790 Ritchie Hwy
Suite E-35
Severna Park, MD 21146-4136

Mailing address

790 Ritchie Hwy
Suite E-35
Severna Park, MD 21146-4136
Phone (410) 544-2487

Other identifiers 1

IdentifierTypeStateIssuer
261100700MedicaidMD

National Provider Directory

National Provider Directory

Locations

790 Ritchie Hwy
Ste E35
Severna Park, MD 21146
Phone (410) 544-2487

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": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1508825829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 RITCHIE HWY",
            "address_2": "SUITE E-35",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464136",
            "telephone_number": "410-544-2487",
            "fax_number": "410-544-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 RITCHIE HWY",
            "address_2": "SUITE E-35",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464136",
            "telephone_number": "410-544-2487",
            "fax_number": "410-544-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER REACH OUTPATIENT SURGERY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "CHAPPELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-544-2487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "02A1025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261100700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.