Vsa Surgery Center of Abingdon LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VSA SURGERY CENTER OF ABINGDON LLC

Practice address

3435 Box Hill Corporate Center Dr Ste H
Abingdon, MD 21009-1204

Phone

(855) 648-9982

Fax

(443) 456-3647

NPI assigned

Oct 2, 2020

Last updated

Sep 25, 2023By 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

Andre Biuckians, MDNPI 1184719304

Title

Partner

Phone

(410) 879-2009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942807961. Details of each certification follow.

• CCN 21C0001675 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 21C0001675

Legal name

VSA Surgery Center of Abingdon, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 7, 2024

Last certification

May 7, 2024

Ownership / control type

Proprietary

Facility address

3435 Box Hill Corporate Center Drive, Suite H
Abingdon, MD 21009

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

CLIA laboratory certificates

Member of 2

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

• Vascular Surgery Associates, L.L.C.

  • Vascular Surgery Physician
  • Bel Air, MD
  • NPI 1548222912

  Member Of

  NPD member
• Interventional Partners PLLC

  dba North Texas Foot and Ankle

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1790316297

  Member Of

  NPD member

Locations

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.

• Andre Biuckians, M.D.

  • Vascular Surgery Physician
  • Bel Air, MD
  • NPI 1184719304
  NPD (past) Authorized official

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1942807961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR STE 306",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144375",
            "telephone_number": "410-879-2006",
            "fax_number": "443-787-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 BOX HILL CORPORATE CENTER DR STE H",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091204",
            "telephone_number": "855-648-9982",
            "fax_number": "443-456-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSA SURGERY CENTER OF ABINGDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "BIUCKIANS",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-879-2009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Eleanor Vandevander, BCBA, LBA
• Sunitha Venugopal, MD
• Jade Vincenti, MS, SLP
• Vedapurisan Viswanathan, MD
• Vital Trust Health LLC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2009)
• Wal-Mart Stores East, LP (Vision Center 30-2009)
• Walgreen Co (Walgreens #07357)
• Walgreen Co. (Walgreens #7357)
• Charles Walker, PHARMD

• Ambulatory Surgical Clinic/Center in Abingdon, MD
• Providers in Abingdon, 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 Sep 25, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.