Organization Active NPI

Central Maryland Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Frederick, MD
National Provider Identifier
1730142415
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1383 Issued in MD
Legal business name
CENTRAL MARYLAND SURGICAL CENTER
Practice address
197 Thomas Johnson Dr
Frederick, MD 21702-4314
Phone
(301) 624-5510
Fax
(301) 624-5370
NPI assigned
Apr 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Debra Sue Huffman, MHA
Title
VP Managed Care Services
Phone
(636) 549-2384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1383 MD Primary

Addresses

Primary practice location

197 Thomas Johnson Dr
Frederick, MD 21702-4314

Mailing address

197 Thomas Johnson Dr
Frederick, MD 21702-4314
Phone (301) 624-5510

National Provider Directory

National Provider Directory

Locations

197 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 631-3881

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730142415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 THOMAS JOHNSON DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024314",
            "telephone_number": "301-624-5510",
            "fax_number": "301-624-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 THOMAS JOHNSON DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024314",
            "telephone_number": "301-624-5510",
            "fax_number": "301-624-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MARYLAND SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "VP MANAGED CARE SERVICES",
        "authorized_official_telephone_number": "636-549-2384",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.