Annapolis Surgery Pavilion, LLC.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ANNAPOLIS SURGERY PAVILION, LLC.

Practice address

166 Defense Hwy Ste 101
Annapolis, MD 21401-7034

Phone

(410) 643-1999

NPI assigned

May 16, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina J Dimarino, MSN, RN, CNOR

Title

Administrator

Phone

(410) 935-5194

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kelly O'Donnell, MD

  • Phlebology Physician
  • Annapolis, MD
  • NPI 1619997772
  NPD (past)

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1619324068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 DEFENSE HWY STE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017034",
            "telephone_number": "410-643-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 DEFENSE HWY STE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017034",
            "telephone_number": "410-643-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS SURGERY PAVILION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "DIMARINO",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-935-5194",
        "authorized_official_credential": "MSN, RN, CNOR"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annapolis Rheumatology LLC
• Annapolis Rheumatology, LLC
• Annapolis Sleep Center LLC
• Annapolis Snoring and Sleep Apnea Center LLC
• Annapolis Surgery Center, L.L.C.
• Annapolis Youth Services Bureau
• Annapolis-Bowie Cardiovascular PC
• Anne Arundel Co Dept of HLTH
• Anne Arundel Co. Dept. of Health
• Anne Arundel Co. Dept. of Health

• Ambulatory Surgical Clinic/Center in Annapolis, MD
• Providers in Annapolis, 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 Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.