Organization Active NPI

Baltimore Washington Surgery Center, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Columbia, MD
National Provider Identifier
1710115472
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1497 Issued in MD
Legal business name
BALTIMORE WASHINGTON SURGERY CENTER, L.L.C.
Practice address
10710 Charter Dr
Suite 340
Columbia, MD 21044-2858
Phone
(410) 997-1010
Fax
(410) 997-0807
NPI assigned
Jul 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Dr. Domenick Coletti, M.D., D.D.S.
Title
Director
Phone
(410) 997-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1497 MD Primary

Addresses

Primary practice location

10710 Charter Dr
Suite 340
Columbia, MD 21044-2858

Mailing address

10710 Charter Dr
Suite 340
Columbia, MD 21044-2858
Phone (410) 997-1010

National Provider Directory

National Provider Directory

Locations

10710 Charter Dr
Ste 340
Columbia, MD 21044
Phone (410) 772-6060

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1710115472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE 340",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442858",
            "telephone_number": "410-997-1010",
            "fax_number": "410-997-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE 340",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442858",
            "telephone_number": "410-997-1010",
            "fax_number": "410-997-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE WASHINGTON SURGERY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "COLETTI",
        "authorized_official_first_name": "DOMENICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-997-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 8, 2013; 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.