Organization Active NPI

Columbia Urological Surgical Center, L.L.C.

Doing business as Columbia Urological Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Columbia, MD
National Provider Identifier
1689749350
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1142 Issued in MD
Legal business name
COLUMBIA UROLOGICAL SURGICAL CENTER, L.L.C.
Doing business as
Columbia Urological Surgery Center, LLC
Practice address
11085 Little Patuxent Pkwy
Suite 204
Columbia, MD 21044-2983
Phone
(410) 997-5422
Fax
(410) 997-4359
NPI assigned
Nov 21, 2006
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL MARYLAND UROLOGY ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. John Joseph Kishel, M.D.
Title
Medical Director
Phone
(410) 997-5422

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1142 MD Primary
Lithotripsy Clinic/Center 261QL0400X A1142 MD

Addresses

Primary practice location

11085 Little Patuxent Pkwy
Suite 204
Columbia, MD 21044-2983

Mailing address

11085 Little Patuxent Pkwy
Suite 207
Columbia, MD 21044-2983
Phone (410) 997-5422

Other names 1

  • Columbia Urological Surgery Center, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Maclean Kishel Apples

Locations

10710 Charter Dr
Ste 107A
Columbia, MD 21044
Phone (410) 997-5422

11085 Little Patuxent Pkwy
Ste 204
Columbia, MD 21044
Phone (410) 730-5700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1689749350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11085 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 207",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442983",
            "telephone_number": "410-997-5422",
            "fax_number": "410-997-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11085 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442983",
            "telephone_number": "410-997-5422",
            "fax_number": "410-997-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA UROLOGICAL SURGICAL CENTER, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL MARYLAND UROLOGY ASSOCIATES",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "KISHEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-997-5422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1142",
            "primary": true
        },
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": "MD",
            "license": "A1142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Urological Surgery Center, LLC",
            "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 Mar 5, 2008; 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.