Columbia Aesthetic Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COLUMBIA AESTHETIC SURGERY CENTER LLC

Practice address

8860 Columbia 100 Pkwy Ste 314
Columbia, MD 21045-2298

Phone

(410) 740-9330

Fax

(410) 740-9335

NPI assigned

Apr 8, 2021

Last updated

Jul 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric Chang, MDNPI 1760484398

Title

Owner/Physician

Phone

(410) 740-9330

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801476460. Details of each certification follow.

• CCN 21C0001644 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 21C0001644

Legal name

COLUMBIA AESTHETIC SURGERY CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 4, 2021

Last certification

Oct 12, 2021

Ownership / control type

Proprietary

Facility address

8860 Columbia 100 Pkwy, Ste 314
Columbia, MD 21045

Locations

Practitioners 3

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.

• Eric Chang, MD

  • Specialist
  • Columbia, MD
  • NPI 1760484398
  Medicare reassignment NPD Authorized official
• Josephine Dubon, PA

  • Physician Assistant
  • Columbia, MD
  • NPI 1235638115
  Medicare reassignment NPD
• Jessica Sui Wang, MD

  • Plastic Surgery Physician
  • Washington, DC
  • NPI 1205368297

  MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1801476460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY STE 314",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452298",
            "telephone_number": "410-740-9330",
            "fax_number": "410-740-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY STE 314",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452298",
            "telephone_number": "410-740-9330",
            "fax_number": "410-740-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA AESTHETIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "410-740-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.columbiaaesthetic.com/contact/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8860 Columbia 100 Pkwy Ste 206",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210452383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arthur Brian Colquitt, DC
• Columbia Addictions Center
• Columbia Addictions Center
• Columbia Advanced Chiropractic, LLC
• Columbia Aesthetic Plastic Surgery
• Columbia Associates in Psychiatry PC
• Columbia Center for Implants & Periodontics
• Columbia Chemists LLC (Feldmans medical center pharmacy)
• Columbia Chiropractic
• Columbia Counseling Center P.a.

• Ambulatory Surgical Clinic/Center in Columbia, MD
• Providers in Columbia, 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 Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.