Columbia Parkway Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COLUMBIA PARKWAY SURGERY CENTER LLC

Practice address

8850 Columbia 100 Pkwy Ste 102
Columbia, MD 21045-2375

Phone

(410) 888-2020

Fax

(667) 223-1712

NPI assigned

May 6, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Sanjay D Goel, MDNPI 1265538540

Title

Ceo

Phone

(410) 888-2020

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Ambulatory surgical center certification: CCN 21C0001653

Legal name

Columbia Parkway Surgery Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 8, 2022

Last certification

Mar 30, 2022

Ownership / control type

Proprietary

Facility address

8850 Columbia 100 Parkway, Suite 102
Columbia, MD 21045

Practitioners 1

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

• Sanjay Desh Goel, M.D.

  • Ophthalmology Physician
  • Towson, MD
  • NPI 1265538540
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1568083103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11819 SHEPARDS XING",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291139",
            "telephone_number": "410-888-2020",
            "fax_number": "667-223-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 COLUMBIA 100 PKWY STE 102",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452375",
            "telephone_number": "410-888-2020",
            "fax_number": "667-223-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA PARKWAY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "GOEL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-888-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Medical Sport & Spine LLC
• Columbia Medical Supply, LLC
• Columbia Mental Health Resources, Inc.
• Columbia Oral and Facial Surgery Center, LLC
• Columbia Outpatient Sedation LLC
• Columbia Patient Care Associates, LLC
• Columbia Pharmacy
• Columbia Pharmacy LLC
• Columbia RX LLC
• Columbia Senior Home Care LLC

• Ambulatory Surgical Clinic/Center in Columbia, MD
• Providers in Columbia, 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 Jul 18, 2023; 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.