NPIMap

Organization Active NPI

Maryland Podiatry Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Ellicott City, MD
National Provider Identifier
1841517976
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MARYLAND PODIATRY SURGICAL CENTER, LLC
Practice address
3460 Ellicott Center Drive
Suite 103
Ellicott City, MD 21043-4164
Phone
(410) 922-8504
Fax
(410) 992-8509
NPI assigned
Apr 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
John Joseph Murphy, DPM
Title
Owner
Phone
(410) 992-8504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X MA Primary

Addresses

Primary practice location

3460 Ellicott Center Drive
Suite 103
Ellicott City, MD 21043-4164

Mailing address

3460 Ellicott Center Drive
Suite 103
Ellicott City, MD 21043-4164
Phone (410) 922-8504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 21C0001543

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MARYLAND PODIATRY SURGICAL CENTER, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Mar 30, 2013
Last certification
Jun 27, 2019
Ownership / control type
Proprietary
Facility address
3460 Ellicott Center Drive, Ste 103
Ellicott City, MD 21043

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1841517976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 ELLICOTT CENTER DRIVE",
            "address_2": "SUITE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434164",
            "telephone_number": "410-922-8504",
            "fax_number": "410-992-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 ELLICOTT CENTER DRIVE",
            "address_2": "SUITE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434164",
            "telephone_number": "410-922-8504",
            "fax_number": "410-992-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND PODIATRY SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-992-8504",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.