Lutherville Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LUTHERVILLE SURGERY CENTER, LLC

Practice address

1609 E Joppa Rd
Towson, MD 21286

Phone

(410) 834-5600

NPI assigned

Feb 6, 2018

Organization subpart

No

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

Authorized official

Name

Marcy Long, CBOM, PMECNPI 1992730329

Title

Business Office Manager

Phone

(410) 834-5600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Lutherville Surgery Center LLC Dba Surgcenter of TowsonCCN 21C0001608

Medicare certification status

ActiveFrom the Provider of Services file

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 3

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

• Marcy Long

  • Nephrology Specialist/Technologist
  • Bridgeport, WV
  • NPI 1992730329
  NPD Authorized official
• Brendan Joseph Collins, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Baltimore, MD
  • NPI 1417093410
  NPD
• Craig Vander Kolk, M.D.

  • Plastic Surgery Physician
  • Lutherville, MD
  • NPI 1497782163
  NPD (past)

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1609375682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 E JOPPA RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862122",
            "telephone_number": "410-834-5600",
            "fax_number": "410-834-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 E JOPPA RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-834-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 E Joppa Rd",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "21286",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUTHERVILLE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "410-834-5600",
        "authorized_official_credential": "CBOM, PMEC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ludovico, SLP
• Eli Jose Luft, PA-C
• Joel Lukubama
• Tiffany Claire Villarta Lumayog
• Grace Lustig Marudas, LCPC
• Andrew Lutz
• Luxottica of America Inc.
• Daria Lymar, M.D.
• Lynch Physical Therapy, LLC
• Alexandra Lynch

• 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 Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.