SGFC Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SGFC SURGERY CENTER, LLC

Doing business as

SGFC Surgery Center

Practice address

901 Dulaney Valley Road
Suite 100
Towson, MD 21204-0622

Phone

(410) 512-8300

Fax

(855) 334-8171

NPI assigned

Feb 1, 2013

Organization subpart

Yes

Parent organization

SHADY GROVE FERTILITY RSCAs reported in NPPES

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

Authorized official

Name

Kristin Raker

Title

SVP Finance and Accounting

Phone

(301) 545-1370

Specialties & licenses 2

Addresses

Other names 1

• SGFC Surgery Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 21C0001547

Legal name

SGFC SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 27, 2013

Last certification

Sep 27, 2013

Ownership / control type

Proprietary

Facility address

901 Dulaney Valley Road Suite 100
Towson, MD 21204

Part of

Shady Grove Fertility Reproductive Science Center

Locations

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1528307188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BLACKWELL ROAD",
            "address_2": "SUITE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503783",
            "telephone_number": "301-340-1188",
            "fax_number": "301-340-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DULANEY VALLEY ROAD",
            "address_2": "SUITE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212040622",
            "telephone_number": "410-512-8300",
            "fax_number": "855-334-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGFC SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHADY GROVE FERTILITY RSC",
        "enumeration_date": "2013-02-01",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "RAKER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "SVP FINANCE AND ACCOUNTING",
        "authorized_official_telephone_number": "301-545-1370"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SGFC Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SGFC Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amar Setty, M.D.
• Christopher Seward-Avila
• Mary Elizabeth Sexton, M.D.
• Clark Lee Seyboth, O.D.
• Brian L Seymore, DC, PT, DIBE, DABCE
• Steven C Shade, MS, ATC
• Samantha Shaffer
• Ahmed Sateh Shafik, MD
• Mir Ali Asghar Shah, MD
• Shahanaz Parveen Shaik, MD

• Ambulatory Surgical Clinic/Center in Towson, MD
• Providers in Towson, 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 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.