Baltimore Columbia Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BALTIMORE COLUMBIA SURGERY CENTER, LLC

Practice address

5300 Dorsey Hall Dr
Suite 102
Ellicott City, MD 21042-7791

Phone

(410) 884-4200

Fax

(410) 715-8534

NPI assigned

Jan 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Fady Sinno, M.D.NPI 1215006994

Title

Director

Phone

(410) 884-4200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Baltimore Columbia Surgery Center LLCCCN 21C0001584

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fady Sinno, M.D.

  • Plastic Surgery Physician
  • Ellicott City, MD
  • NPI 1215006994
  NPD Authorized official

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454112000000",
    "number": "1740647353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DORSEY HALL DR",
            "address_2": "SUITE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427791",
            "telephone_number": "410-884-4200",
            "fax_number": "410-715-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 DORSEY HALL DR",
            "address_2": "SUITE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427791",
            "telephone_number": "410-884-4200",
            "fax_number": "410-715-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE COLUMBIA SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-30",
        "status": "A",
        "authorized_official_last_name": "SINNO",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-884-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, 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 30, 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.