Organization Active NPI

Columbia MD Orthopaedic ASC, LLC

Doing business as Hickory Ridge Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Columbia, MD
National Provider Identifier
1649393695
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1388 Issued in MD
Legal business name
COLUMBIA MD ORTHOPAEDIC ASC, LLC
Doing business as
Hickory Ridge Surgery Center
Practice address
10700 Charter Dr #301
Columbia, MD 21044-4000
Phone
(410) 910-2301
Fax
(410) 910-2303
NPI assigned
Apr 6, 2007
Last updated
Dec 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Mr. Anthony D. Kling
Title
Cfo
Phone
(301) 774-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1388 MD Primary

Addresses

Primary practice location

10700 Charter Dr #301
Columbia, MD 21044-4000

Mailing address

10700 Charter Dr #301
Columbia, MD 21044-4000
Phone (410) 910-2301

Other names 1

  • Hickory Ridge Surgery Center Doing business as

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Hickory Ridge Surgery CtrCCN 21C0001388
Medicare certification status
Terminated Voluntary: merger or closure, Dec 1, 2023From the Provider of Services file

National Provider Directory

National Provider Directory

Locations

10700 Charter Dr
Ste 300
Columbia, MD 21044
Phone (410) 730-0970

10700 Charter Dr
Ste 301
Columbia, MD 21044
Phone (410) 730-0099

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1649393695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR #301",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444000",
            "telephone_number": "410-910-2301",
            "fax_number": "410-910-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR #301",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444000",
            "telephone_number": "410-910-2301",
            "fax_number": "410-910-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MD ORTHOPAEDIC ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "KLING",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-774-0501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Ridge Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.