Mt Airy Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1089 Issued in MD

Legal business name

MT AIRY SURGERY CENTER, LLC

Practice address

1001 Twin Arch Rd
Suite 3C
Mount Airy, MD 21771-4138

Phone

(410) 549-2100

Fax

(410) 549-2807

NPI assigned

Jul 8, 2005

Organization subpart

No

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

Authorized official

Name

Kevin K Kelby

Title

Sr Vice President-Finance

Phone

(410) 848-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1730187337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 TWIN ARCH RD",
            "address_2": "SUITE 3C",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217714138",
            "telephone_number": "410-549-2100",
            "fax_number": "410-549-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TWIN ARCH RD",
            "address_2": "SUITE 3C",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217714138",
            "telephone_number": "410-549-2100",
            "fax_number": "410-549-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT AIRY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "KELBY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SR VICE PRESIDENT-FINANCE",
        "authorized_official_telephone_number": "410-848-3000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430400400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tavia Morgan
• Mount Airy Dental Center
• Mount Airy Medical Eye Center
• Mount Airy Surgical Center LLC
• Mount Airy Volunteer Fire Company
• Mt. Airy Eye Care, LLC
• Mt. Airy Psychological Services, LLC
• Mt. Airy Speech Therapy LLC
• Joseph Winston Murray, PD
• Myeyedr Optometry of Maryland, LLC

• Ambulatory Surgical Clinic/Center in Mount Airy, MD
• Providers in Mount Airy, 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 27, 2009; 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.