Maryland Plastic Surgery, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

DOO55340 Issued in MD

Legal business name

MARYLAND PLASTIC SURGERY, LLC

Practice address

1520 Jabez Run Ste 200
Millersville, MD 21108-2005

Phone

(410) 553-9444

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Adam N. Summers, MDNPI 1275584591

Title

Medical Director

Phone

(410) 553-9444

Specialties & licenses 1

Addresses

Other names 1

• Maryland Plastic Surgery Associates, L.L.C. Former legal business name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 21C0001378

Legal name

MARYLAND PLASTIC SURGERY, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Mar 24, 2003

Last certification

Mar 11, 2021

Ownership / control type

Proprietary

Facility address

1520 Jabez Run, Suite 200
Millersville, MD 21108

Locations

Practitioners 1

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

• Adam N. Summers, M.D.

  • Plastic Surgery Physician
  • Millersville, MD
  • NPI 1275584591
  NPD Authorized official

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1801847850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 JABEZ RUN",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082005",
            "telephone_number": "410-553-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 JABEZ RUN STE 200",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082005",
            "telephone_number": "410-553-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-553-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "DOO55340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Plastic Surgery Associates, L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Keree Lynn Martin
• Sara Martin
• Ninoska Martinez
• Karen Elaine Martz
• Maryland CVS Pharmacy LLC
• Iman Kimm Massey
• Markeita Matthews, LCSW-C
• Suzanne Matty, LCSW-C
• Marylis Maturana
• Erinn E Maury, MD

• Ambulatory Surgical Clinic/Center in Millersville, MD
• Providers in Millersville, 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 Mar 18, 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.