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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- A1142
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- CENTRAL MARYLAND UROLOGY ASSOCIATES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
-
- Urology Physician
- Columbia, MD
- NPI 1679511620
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
- Columbia Smiles Family Dentistry
- Columbia Smiles, LLC
- Columbia Specialty Investment, LLC (Columbia Specialty Pharmacy)
- Columbia Surgery Center Inc
- Columbia Town Center Pharmacy
- Columbia Vantage House Corporation (Vantage House)
- Columbia Vantage House Rehabilitation LLC
- Columbus Eye Associates, Inc.
- Kristen Colyer
- Stephen Colyer
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.