Active NPI
Deer Pointe Surgical Center, LLC
- Ambulatory Surgical Clinic/Center
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- DEER POINTE SURGICAL CENTER, LLC
- Doing business as
- POA Surgery Center
- Practice address
- 641 S Salisbury Blvd
Salisbury, MD 21801-5429 - Phone
- (410) 341-9002
- Fax
- (410) 341-9006
- NPI assigned
- Jul 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pasquale Petrera
- Title
- Authorized Official
- Phone
- (410) 749-4154
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
641 S Salisbury Blvd
Salisbury, MD 21801-5429
Mailing address
1675 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone (410) 341-9002
Other names 1
- POA Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100921001428 | MD | Part B Supplier - Ambulatory Surgical Center | 5193841609 | Practice locations: Salisbury, MD |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Deer Pointe Surgical Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2015560 | Poa Surgery Center | Certificate of waiver | Oct 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
6503 Deer Pointe Dr
Ste A
Salisbury, MD 21804
Phone (410) 341-9002
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Salisbury, MD
- NPI 1215918933
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Salisbury, MD
- NPI 1417023326
-
- Physical Medicine & Rehabilitation Physician
- Lewes, DE
- NPI 1396796413
-
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1770564528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721347200000",
"number": "1689986879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 WOODBROOKE DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218048502",
"telephone_number": "410-341-9002",
"fax_number": "410-341-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 S SALISBURY BLVD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015429",
"telephone_number": "410-341-9002",
"fax_number": "410-341-9006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEER POINTE SURGICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-05",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A",
"authorized_official_last_name": "PETRERA",
"authorized_official_first_name": "PASQUALE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "410-749-4154"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "POA Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.