Main Street Ambulatory Surgical Ctr

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1387 Issued in MD

Legal business name

MAIN STREET AMBULATORY SURGICAL CTR

Practice address

632 Main St
Laurel, MD 20707-4070

Phone

(301) 953-3800

Fax

(301) 604-2657

NPI assigned

Aug 27, 2007

Last updated

Aug 27, 2007By 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

Mr. Edward Michael Horvath, DPM

Title

President

Phone

(301) 953-3800

Specialties & licenses 1

Addresses

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.

• Dionne M. Storey-Crawford, DPM

  • Podiatrist
  • Bowie, MD
  • NPI 1316023625
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1841483443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 MAIN ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074070",
            "telephone_number": "301-953-3800",
            "fax_number": "301-604-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 MAIN ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074070",
            "telephone_number": "301-953-3800",
            "fax_number": "301-604-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET AMBULATORY SURGICAL CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "HORVATH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-953-3800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tezeh Magha Mispa
• Leocadie Solange Magnie Epse Fokoua
• Imani Mahdi, LCSW-C
• Joan M Maiah, NP
• Angela Isibhakhomen Maiga
• Hamida Majili, PMHNP-BC
• Makaay Group LLC
• Dorinda Malcolm, M.A.,CCC-SLP
• Abelina Maldonado, FNP, PMHNP
• Komal A. Malik, MD

• Ambulatory Surgical Clinic/Center in Laurel, MD
• Providers in Laurel, 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 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.