Surgcenter of Western Maryland, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGCENTER OF WESTERN MARYLAND, LLC

Practice address

12252 Williams Rd SE
Suit 103
Cumberland, MD 21502-7960

Phone

(240) 522-0185

Fax

(240) 522-0186

NPI assigned

Aug 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Tom Ghobrial, MD

Title

Ceo

Phone

(240) 964-4838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Surgcenter of Western Maryland LLCCCN 21C0001521

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Upmc Western Maryland Corporation

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1184769952

  Member Of

  NPD member

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mountain Maryland Anesthesia Services LLC

  • Anesthesiology Physician
  • Cumberland, MD
  • NPI 1093512287
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Hahn, MD

  • General Practice Physician
  • Morgantown, WV
  • NPI 1366653867
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1699054098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12252 WILLIAMS RD SE",
            "address_2": "SUIT 103",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215027960",
            "telephone_number": "240-522-0185",
            "fax_number": "240-522-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12252 WILLIAMS RD SE",
            "address_2": "SUIT 103",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215027960",
            "telephone_number": "240-522-0185",
            "fax_number": "240-522-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGCENTER OF WESTERN MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "GHOBRIAL",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-964-4838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yogesh Subedi, MD
• John Sulek, CRNA
• Summit Rehabilitation LLC
• Sunil K. Gupta, M.D., P.a.
• Support Circle Health Services LLC
• Aira Suter
• Theresa Sutherland, CSCAD
• Derrick Swandol, LMSW
• Jennifer Sween
• Jessica Sweet

• Ambulatory Surgical Clinic/Center in Cumberland, MD
• Providers in Cumberland, 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 Apr 8, 2022; 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.

Verify at the official NPI Registry.