Western Maryland Eye Surgical Center,Philip McGann, M.D., PA

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

D00029921 Issued in MD

Legal business name

WESTERN MARYLAND EYE SURGICAL CENTER,PHILIP MCGANN, M.D., PA

Practice address

1003 W 7TH St
Suite 400
Frederick, MD 21701-4106

Phone

(301) 662-3721

Fax

(301) 698-8164

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Philip John McGann, M.D.NPI 1528238557

Title

Medical Director

Phone

(301) 662-3721

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 21C0001084

Legal name

WESTERN MARYLAND EYE SURGICAL

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 16, 1993

Last certification

Aug 17, 2021

Ownership / control type

Proprietary

Facility address

1003 West Seventh Street Suite 400
Frederick, MD 21701

Practitioners 1

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

• Philip J McGann, MD

  • Ophthalmology Physician
  • Frederick, MD
  • NPI 1528238557
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1902991979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W 7TH ST",
            "address_2": "SUITE 400",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014106",
            "telephone_number": "301-662-3721",
            "fax_number": "301-698-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 W 7TH ST",
            "address_2": "SUITE 400",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014106",
            "telephone_number": "301-662-3721",
            "fax_number": "301-698-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MARYLAND EYE SURGICAL CENTER,PHILIP MCGANN, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "MCGANN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-662-3721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "MD",
            "license": "D00029921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320281000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Marie West, LCSW-C
• Grant Westbrook, PT, DPT
• Lara Lynn Roholt Westdorp
• Western Maryland Anesthesia Associates, LLC
• Western Maryland Counseling Center Inc
• Westview Psychological Services, LLC
• Thomas Westwood
• Kelsey Gwen Wetherald, ADT
• Nicole Marie Wetzel, LCSW-C
• Alison Wexler, NBC-HWC

• Ophthalmologic Surgery Clinic/Center in Frederick, MD
• Providers in Frederick, MD by specialty
• Ophthalmologic Surgery Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.