Organization Active NPI

Innovative Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Havre de Grace, MD
National Provider Identifier
1881002343
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
D0073023 Issued in MD
Legal business name
INNOVATIVE SURGERY CENTER, LLC
Practice address
253 Lewis LN
Suite 301
Havre de Grace, MD 21078-3750
Phone
(410) 942-0620
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Hyon K Schneider, MDNPI 1487814042
Title
Owner
Phone
(410) 942-0620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X D0073023 MD Primary

Addresses

Primary practice location

253 Lewis LN
Suite 301
Havre de Grace, MD 21078-3750

Mailing address

253 Lewis LN
Suite 301
Havre de Grace, MD 21078-3750
Phone (410) 942-0620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150825003982 MD Part B Supplier - Ambulatory Surgical Center 9830405687 Practice locations: Havre de Grace, MD

Ambulatory surgical center certification: CCN 21C0001574

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
INNOVATIVE SURGERY CENTER
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jan 6, 2016
Last certification
Apr 21, 2021
Ownership / control type
Proprietary
Facility address
253 Lewis Lane, Suite 301
Havre de Grace, MD 21078

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2159746Innovative Surgery Center253 Lewis Lane Suite 301, Havre de Grace, MD 21078Certificate of waiverDec 25, 2026

National Provider Directory

National Provider Directory
Tax ID family
Innovative Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

253 Lewis Ln
Ste 301
Hvre de Grace, MD 21078
Phone (410) 942-0620

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13477/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1881002343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 LEWIS LN",
            "address_2": "SUITE 301",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783750",
            "telephone_number": "410-942-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 LEWIS LN",
            "address_2": "SUITE 301",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783750",
            "telephone_number": "410-942-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "HYON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-942-0620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "D0073023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.