NPIMap

Organization Active NPI

Laurel MD Endoscopy ASC LLC

Doing business as Ambulatory Endoscopy Center of Maryland

  • Ambulatory Surgical Clinic/Center
  • Laurel, MD
National Provider Identifier
1609871680
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1099R Issued in MD
Legal business name
LAUREL MD ENDOSCOPY ASC LLC
Doing business as
Ambulatory Endoscopy Center of Maryland
Practice address
7350 Van Dusen Rd
Ste 230
Laurel, MD 20707-5263
Phone
(301) 498-5500
Fax
(301) 604-5956
NPI assigned
Jun 16, 2005
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Mr. Jeffrey Snodgrass
Title
President
Phone
(615) 665-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1099R MD Primary

Addresses

Primary practice location

7350 Van Dusen Rd
Ste 230
Laurel, MD 20707-5263

Mailing address

1A Burton Hills Blvd # L&C
Nashville, TN 37215-6187
Phone (615) 240-3820

Other identifiers 1

IdentifierTypeStateIssuer
P00715614OtherMDRAILROAD

Other names 1

  • Ambulatory Endoscopy Center of Maryland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060503000873 DC Part B Supplier - Ambulatory Surgical Center 3274543368 Practice locations: Laurel, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Ambulatory Endoscopy Center of MarylandCCN 21C0001099
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1049803Ambulatory Endoscopy Center of Maryland7350 Van Dusen Road Ste 230, Laurel, MD 20707Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory

Locations

7350 Van Dusen Rd
Ste 230
Laurel, MD 20707
Phone (301) 498-5500

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1609871680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD # L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3820",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "STE 230",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075263",
            "telephone_number": "301-498-5500",
            "fax_number": "301-604-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL MD ENDOSCOPY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1099R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00715614",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulatory Endoscopy Center of Maryland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ambulatory Endoscopy Center of Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.