NPIMap

Organization Active NPI

Endoscopic Surgical Centre of Maryland LLC

  • Ambulatory Surgical Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1962595942
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1226 Issued in MD
Legal business name
ENDOSCOPIC SURGICAL CENTRE OF MARYLAND LLC
Practice address
10801 Lockwood Dr
Suite 110
Silver Spring, MD 20901-1556
Phone
(301) 593-5110
Fax
(301) 593-6269
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Christopher A Holden
Title
Chief Manager of LLC
Phone
(615) 665-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1226 MD Primary

Addresses

Primary practice location

10801 Lockwood Dr
Suite 110
Silver Spring, MD 20901-1556

Mailing address

10801 Lockwood Dr
Suite 110
Silver Spring, MD 20901-1556
Phone (301) 593-5110

Other identifiers 6

IdentifierTypeStateIssuer
6800172OtherUNITEDHEALTHCARE NUMBER
60699901OtherMDBC/BS OF MARYLAND
PJ9OtherBC/BS NATIONALCAPITALAREA
1054141OtherKAISER PROVIDER NUMBER
483056OtherNCPPO
247638OtherMAMSI PROVIDER NUMBER

Other names 1

  • Endoscopic Surgical Centre of Maryland Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1962595942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR",
            "address_2": "SUITE 110",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-593-5110",
            "fax_number": "301-593-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR",
            "address_2": "SUITE 110",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-593-5110",
            "fax_number": "301-593-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPIC SURGICAL CENTRE OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF MANAGER OF LLC",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE NUMBER",
            "identifier": "6800172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MARYLAND",
            "identifier": "60699901",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NATIONALCAPITALAREA",
            "identifier": "PJ9",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PROVIDER NUMBER",
            "identifier": "1054141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "483056",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROVIDER NUMBER",
            "identifier": "247638",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endoscopic Surgical Centre of Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.