Active NPI
Parkway Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Hagerstown, MD
National Provider Identifier
1821036534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- APPLICATION PENDING
- Legal business name
- PARKWAY SURGERY CENTER, LLC
- Practice address
- 17 Western Maryland Pkwy
Suite 102
Hagerstown, MD 21740-5146 - Phone
- (240) 420-0192
- Fax
- (240) 420-0197
- NPI assigned
- Jun 3, 2006
- Last updated
- Dec 26, 2023
- 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
- Jodi Harris
- Title
- Ceo
- Phone
- (240) 420-0192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | APPLICATION PENDING | MD | Primary |
Addresses
Primary practice location
17 Western Maryland Pkwy
Suite 102
Hagerstown, MD 21740-5146
Mailing address
17 Western Maryland Pkwy
Suite 102
Hagerstown, MD 21740-5146
Phone (240) 420-0192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821036534 | Other | MD | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061208000148 | MD | Part B Supplier - Ambulatory Surgical Center | 5395744973 | Practice locations: Hagerstown, MD |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Parkway Surgery Center
- 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 |
|---|---|---|---|
| 21D1054041 | Parkway Surgery Center | Certificate of waiver | May 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
17 Western Maryland Pkwy
Ste 102
Hagerstown, MD 21740
Phone (240) 420-0192
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Neurological Surgery Physician
- Hagerstown, MD
- NPI 1225055858
-
- Neurological Surgery Physician
- Hagerstown, MD
- NPI 1275553620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703548800000",
"number": "1821036534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WESTERN MARYLAND PKWY",
"address_2": "SUITE 102",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405146",
"telephone_number": "240-420-0192",
"fax_number": "240-420-0197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WESTERN MARYLAND PKWY",
"address_2": "SUITE 102",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405146",
"telephone_number": "240-420-0192",
"fax_number": "240-420-0197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKWAY SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "JODI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-420-0192"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MD",
"license": "APPLICATION PENDING",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1821036534",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.