Park Center Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PARK CENTER SURGICAL CENTER LLC

Practice address

14201 Park Center Dr Ste 408
Laurel, MD 20707-5251

Phone

(301) 498-0383

Fax

(240) 712-5052

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Rishi Bhatnagar, MDNPI 1952541864

Title

Sole Owner

Phone

(301) 498-0383

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Ambulatory surgical center certification: CCN 21C0001626

Legal name

PARK CENTER SURGICAL CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 5, 2019

Last certification

Sep 30, 2019

Ownership / control type

Proprietary

Facility address

14201 Park Center Drive, Suite 408
Laurel, MD 20707

Practitioners 1

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

• Rishi Bhatnagar, M.D.

  • Orthopaedic Surgery Physician
  • Laurel, MD
  • NPI 1952541864
  NPD (past) Authorized official

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1558876367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 PARK CENTER DR STE 408",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075251",
            "telephone_number": "301-498-0383",
            "fax_number": "240-712-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 PARK CENTER DR STE 408",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075251",
            "telephone_number": "301-498-0383",
            "fax_number": "240-712-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CENTER SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "BHATNAGAR",
        "authorized_official_first_name": "RISHI",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "301-498-0383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jin Won Park
• Anthony Vincent Parlato, DDS
• Tina Margaret Parler-Kamara, M.D.
• Charlene Jung Parlette, LPC, LCPC

• Ambulatory Surgical Clinic/Center in Laurel, MD
• Providers in Laurel, 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 Dec 4, 2017; 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.