Active NPI
Piney Orchard Surgery Center, LLC.
- Ambulatory Surgical Clinic/Center
- Odenton, MD
National Provider Identifier
1780618801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PINEY ORCHARD SURGERY CENTER, LLC.
- Practice address
- 1132 Annapolis Rd
Odenton, MD 21113-1647 - Phone
- (410) 674-0020
- Fax
- (410) 674-6226
- NPI assigned
- Jul 11, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Douglas Robert Colkitt, M.D.
- Title
- Partner
- Phone
- (941) 346-0858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
1132 Annapolis Rd
Odenton, MD 21113-1647
Mailing address
PO Box 631688
Baltimore, MD 21263-1688
Phone (814) 689-2066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110811000039 | MD | Part B Supplier - Ambulatory Surgical Center | 7416126339 | Practice locations: Odenton, MD |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Piney Orchard Surgery Center LLC
- Medicare certification status
- Active
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, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- Glen Burnie, MD
- NPI 1932107935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780618801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631688",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631688",
"telephone_number": "814-689-2066",
"fax_number": "814-689-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 ANNAPOLIS RD",
"city": "ODENTON",
"state": "MD",
"postal_code": "211131647",
"telephone_number": "410-674-0020",
"fax_number": "410-674-6226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINEY ORCHARD SURGERY CENTER, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COLKITT",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "941-346-0858",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odenton, 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.
- 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.