Active NPI
Baltimore Washington Surgery Center, L.L.C.
- Ambulatory Surgical Clinic/Center
- Columbia, MD
National Provider Identifier
1710115472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- A1497
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Gainesville, FL
- NPI 1497086342
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.