Andochick Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ANDOCHICK SURGICAL CENTER LLC

Practice address

81 Thomas Johnson Court
Suite B
Frederick, MD 21702

Phone

(240) 215-3070

Fax

(240) 215-3071

NPI assigned

Feb 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Scott E. Andochick, M.D.

Title

Owner-Chairman

Phone

(301) 620-4200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PHYSICIANS SURGERY CENTER OF FREDERICK Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Andochick Surgical Center LLCCCN 21C0001340

Medicare certification status

ActiveFrom the Provider of Services file

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1710952841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 THOMAS JOHNSON COURT",
            "address_2": "SUITE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "240-215-3070",
            "fax_number": "240-215-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 THOMAS JOHNSON COURT",
            "address_2": "SUITE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "240-215-3070",
            "fax_number": "240-215-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOCHICK SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "ANDOCHICK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER-CHAIRMAN",
        "authorized_official_telephone_number": "301-620-4200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "208200000X",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420883800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIANS SURGERY CENTER OF FREDERICK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Leigh Anderson, PA-C
• Katherine Anderson, PA
• Laren Anderson, LCPC
• Nicole Anderson, RN
• Andersons Community Healthcare Services Inc
• Lori Lynn Andochick, LORI ANDOCHICK
• Scott E Andochick, M.D.
• Jovan H Andrade, MA, BCBA
• Andrew Campbell Counseling, LLC
• Karen Brafmann Andrews, P.T.

• Ambulatory Surgical Clinic/Center in Frederick, MD
• Providers in Frederick, 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 Jan 20, 2016; 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.