The Surgical Center of Greater Annapolis, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1029 Issued in MD

Legal business name

THE SURGICAL CENTER OF GREATER ANNAPOLIS, INC.

Practice address

83 Church Rd
Arnold, MD 21012-2306

Phone

(410) 757-5019

Fax

(410) 757-5880

NPI assigned

Apr 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Debbie L. Jordan

Title

Administrative Coordinator

Phone

(410) 757-5019

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

The Surgical Center of Greater Annapolis IncCCN 21C0001029

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1831153527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CHURCH RD",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122306",
            "telephone_number": "410-757-5019",
            "fax_number": "410-757-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CHURCH RD",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122306",
            "telephone_number": "410-757-5019",
            "fax_number": "410-757-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGICAL CENTER OF GREATER ANNAPOLIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATIVE COORDINATOR",
        "authorized_official_telephone_number": "410-757-5019",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189421800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Strueber, L.C.P.C.
• Rachel M. Sweeney, C.R.N.P.
• Synergy Medical Group LLC
• Kristen M Tarquin, PHD
• Candace Ann Tesch, M.D.
• Linda Thorne, LMFT
• Ann Tokosch
• Lyra Grace Tomljanovich
• Stefan Toomey, DDS
• Total Therapy LLC

• Ambulatory Surgical Clinic/Center in Arnold, MD
• Providers in Arnold, 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 Aug 12, 2008; 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.

Verify at the official NPI Registry.