NPIMap

Organization Active NPI

Delmarva Surgery Center, LLC

Doing business as Delmarva Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Salisbury, MD
National Provider Identifier
1861490120
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1359 Issued in MD
Legal business name
DELMARVA SURGERY CENTER, LLC
Doing business as
Delmarva Surgery Center
Practice address
641 S Salisbury Blvd
Salisbury, MD 21801-5429
Phone
(410) 543-4590
Fax
(410) 543-8215
NPI assigned
Jul 11, 2005
Last updated
Mar 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Authorized official

Name
Mrs. Terri Lynn Scott, CASC
Title
Director, Administrative Services
Phone
(410) 543-4590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1359 MD Primary

Addresses

Primary practice location

641 S Salisbury Blvd
Salisbury, MD 21801-5429

Mailing address

641 S Salisbury Blvd
Salisbury, MD 21801-5429
Phone (410) 543-4590

Other names 1

  • Delmarva Surgery Center Doing business as

Medicare participation

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861490120. Details of each certification follow.

Ambulatory surgical center certification: CCN 21C0001359

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
DELMARVA SURGERY CENTER, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jun 11, 2002
Last certification
Feb 7, 2020
Ownership / control type
Proprietary
Facility address
641 South Salisbury Blvd
Salisbury, MD 21801

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1861490120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 S SALISBURY BLVD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015429",
            "telephone_number": "410-543-4590",
            "fax_number": "410-543-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 S SALISBURY BLVD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015429",
            "telephone_number": "410-543-4590",
            "fax_number": "410-543-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR, ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "410-543-4590",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delmarva Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.