Active NPI
York Surgical Specialist LLC
- Plastic and Reconstructive Surgery Physician
- Frederick, MD
National Provider Identifier
1780185108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- YORK SURGICAL SPECIALIST LLC
- Practice address
- 81 Thomas Johnson CT
Frederick, MD 21702-4674 - Phone
- (301) 620-4200
- NPI assigned
- Feb 21, 2018
- 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
- Laura York
- Title
- President
- Phone
- (301) 502-9247
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
81 Thomas Johnson CT
Frederick, MD 21702-4674
Mailing address
6526 Nightingale CT
New Market, MD 21774-6620
National Provider Directory
National Provider DirectoryLocations
81 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 620-4200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519171200000",
"number": "1780185108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6526 NIGHTINGALE CT",
"city": "NEW MARKET",
"state": "MD",
"postal_code": "217746620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 THOMAS JOHNSON CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024674",
"telephone_number": "301-620-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YORK SURGICAL SPECIALIST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-21",
"last_updated": "2018-02-21",
"status": "A",
"authorized_official_last_name": "YORK",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-502-9247"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"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 Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.