Chesapeake Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1076 Issued in MD

Legal business name

CHESAPEAKE AMBULATORY SURGERY CENTER, LLC

Practice address

8028 Ritchie Hwy Ste 106
Pasadena, MD 21122-1020

Phone

(410) 761-0118

Fax

(410) 761-5118

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ira J Gottlieb, DPMNPI 1265430524

Title

Owner

Phone

(410) 761-0118

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ira J Gottlieb, D.P.M.

  • Podiatrist
  • Pasadena, MD
  • NPI 1265430524
  NPD (past) Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1992845283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030B RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221084",
            "telephone_number": "410-761-0118",
            "fax_number": "410-761-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY STE 106",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221020",
            "telephone_number": "410-761-0118",
            "fax_number": "410-761-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-761-0118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Cedeno
• Center for Interventional Procedures LLC
• Center for Interventional Procedures LLC
• Patricia A Chambliss, M.D.
• Danielle Cheplowitz, AGPCNP-BC
• Chesapeake Family Foot Care, PA
• Chesapeake Foot and Ankle Center, P.a.
• Chesapeake Foot and Ankle Center, P.a.
• Chesapeake Plastic Surgery Suite
• Chesapeake Primary Care Group PA

• All providers in Pasadena, MD
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.