Active NPI
Silver Spring MD Endoscopy ASC LLC
- Ambulatory Surgical Clinic/Center
- Silver Spring, MD
National Provider Identifier
1770645905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SILVER SPRING MD ENDOSCOPY ASC LLC
- Practice address
- 10801 Lockwood Dr
Suite 110
Silver Spring, MD 20901-1556 - Phone
- (301) 593-5110
- Fax
- (301) 593-6269
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Snodgrass
- Title
- President
- Phone
- (615) 665-1283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
10801 Lockwood Dr
Suite 110
Silver Spring, MD 20901-1556
Mailing address
1A Burton Hills Blvd # L&C
Nashville, TN 37215-6187
Phone (615) 240-3820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00713902 | Other | MD | RAILROAD |
Other names 1
- Endoscopic Surgical Centre of Maryland
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071228000473 | DC | Part B Supplier - Ambulatory Surgical Center | 2466532668 | Practice locations: Silver Spring, MD |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Endoscopic Surgical Centre of Maryland
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0925144 | Silver Spring MD Endoscopy ASC LLC | Certificate of waiver | Feb 18, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Silver Spring, MD
- NPI 1376640888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661299200000",
"number": "1770645905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A BURTON HILLS BLVD # L&C",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372156187",
"telephone_number": "615-240-3820",
"fax_number": "615-234-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 LOCKWOOD DR",
"address_2": "SUITE 110",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011556",
"telephone_number": "301-593-5110",
"fax_number": "301-593-6269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVER SPRING MD ENDOSCOPY ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A",
"authorized_official_last_name": "SNODGRASS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-665-1283",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00713902",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Endoscopic Surgical Centre of Maryland",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Endoscopic Surgical Centre of Maryland",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Silver Spring, MD
- Silver Spring ENT, LLC
- Silver Spring Eye LLC
- Silver Spring Foot and Ankle Amsurg Center, LTD
- Silver Spring Health, LLC
- Silver Spring Implant & Oral Surgery Corporation
- Silver Spring MD Opco LLC
- Silver Spring Medical Associates LLC
- Silver Spring Medical Center, LLC
- Silver Spring Medical Supplies LLC
- Silver Spring Nursing and Rehab Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.