NPIMap

Organization Active NPI

Johns Hopkins Surgery Centers Series

  • Ambulatory Surgical Clinic/Center
  • Columbia, MD
National Provider Identifier
1720514359
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
JOHNS HOPKINS SURGERY CENTERS SERIES
Practice address
5450 Knoll North Dr Ste 301
Columbia, MD 21045-2373
Phone
(443) 546-1750
Fax
(443) 546-1752
NPI assigned
May 2, 2017
Last updated
May 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Authorized official

Name
Lisa Ishii
Title
Senior Vice President
Phone
(410) 583-7185

Specialties & licenses 1

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

Addresses

Primary practice location

5450 Knoll North Dr Ste 301
Columbia, MD 21045-2373

Mailing address

10803 Falls Road, Pavillion 3
Suite 2500
Lutherville, MD 20193
Phone (410) 583-7185

Other names 1

  • Knoll North Surgery Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071128000142 MD Part B Supplier - Ambulatory Surgical Center 3476642539 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Nottingham, MD; Columbia, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Johns Hopkins Surgery Centers Series Dba Knoll North Surgery CenterCCN 21C0001591
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2134173JH Surgery CTRS Series Dba Knoll North Surg Center5450 Knoll North Drive Suite 301, Columbia, MD 21045Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Johns Hopkins Surgery Centers Series7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Locations

100 West Rd
Ste 116
Towson, MD 21204

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1720514359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803 FALLS ROAD, PAVILLION 3",
            "address_2": "SUITE 2500",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "20193",
            "telephone_number": "410-583-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 KNOLL NORTH DR STE 301",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452373",
            "telephone_number": "443-546-1750",
            "fax_number": "443-546-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS HOPKINS SURGERY CENTERS SERIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "ISHII",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "410-583-7185"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knoll North Surgery Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Knoll North Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 22, 2020; 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.