SUMMIT AMBULATORY SURGICAL CENTER, LLC (NPI# 1205023280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205023280 |
| Entity Type | Organization |
| Organization Name | SUMMIT AMBULATORY SURGICAL CENTER, LLC |
| Practice Address |
3407 Wilkens Ave Suite 200 Baltimore MD 21229-5072 |
| Mailing Address |
25 Crossroads Dr Suite 306 Owings Mills MD 21117-5421 |
| Practice Telephone | 4106440929 |
| Practice Fax Number | 4106444338 |
| Mailing Telephone | 4437382872 |
| Mailing Fax Number | 4437382713 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | DR. SANFORD J SIEGEL (PRESIDENT) |
| Authorized Official Telephone | 4105811600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 800906603 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548524 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 800 Bestgate Rd Ste 200, Annapolis, MD 21401-3016 | 2020-08-11 |
| 1649707324 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 12435 Park Potomac Ave Ste 410, Potomac, MD 20854-6975 | 2017-05-12 |
| 1912434697 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 10710 Charter Dr, Suite 140, Columbia, MD 21044-3128 | 2017-05-12 |
| 1891148219 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 7580 Buckingham Blvd, Suite 100, Hanover, MD 21076-3181 | 2016-07-20 |
| 1659793040 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 7704 Matapeake Business Dr, Suite 300, Brandywine, MD 20613-3023 | 2014-01-20 |
| 1972886190 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 3801 International Dr, Suite 300, Silver Spring, MD 20906-1550 | 2011-09-23 |
| 1679871701 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 6820 Hospital Dr, Suite 200, Baltimore, MD 21237-4352 | 2011-03-15 |
| 1538390539 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 201 Plumtree Rd, Suite 200, Bel Air, MD 21015-6044 | 2009-08-07 |
| 1144467804 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 7625 Maple Lawn Blvd, Suite 205, Fulton, MD 20759-2565 | 2009-01-16 |
| 1194913574 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 6535 N Charles St, Suite 625, Baltimore, MD 21204-5826 | 2007-10-10 |
| Street Address |
3407 WILKENS AVE SUITE 200 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687178 | Martin A. Albornoz | Internal Medicine | 3407 Wilkens Ave, Suite 300, Baltimore, MD 21229-5072 | 2005-05-31 |
| 1356729040 | Edilberto Atienza Jr. | Family Medicine | 3407 Wilkens Ave, Baltimore, MD 21229 | 2015-05-13 |
| 1760879738 | Neleen Bonilla Orsal | Nurse Practitioner | 3407 Wilkens Ave, Baltimore, MD 21229-5072 | 2015-04-17 |
| 1417379777 | Omoteniola Awofolu Dds. LLC | Dentist | 3407 Wilkens Ave, Suite 205, Baltimore, MD 21229-5072 | 2014-01-06 |
| 1942341912 | David J. Wang | Internal Medicine | 3407 Wilkens Ave, Suite 300, Baltimore, MD 21229-5072 | 2007-02-10 |
| 1427107580 | Wendy Jo Subasic | Physician Assistant | 3407 Wilkens Ave, Suite 210, Baltimore, MD 21229-5072 | 2007-01-09 |
| 1720135544 | Bishoy Gayed | Urology | 3407 Wilkens Ave, Suite 210, Baltimore, MD 21229-5072 | 2007-01-04 |
| 1437253127 | Sondra Beth Barker | Nurse Practitioner | 3407 Wilkens Ave, Suite 210, Baltimore, MD 21229-5072 | 2006-09-12 |
| 1346257540 | Avinash L. Ganti | Surgery | 3407 Wilkens Ave, Suite 300, Baltimore, MD 21229-5072 | 2006-08-01 |
| 1104830579 | Matthew R Voss | Internal Medicine | 3407 Wilkens Ave, Suite 300, Baltimore, MD 21229-5072 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992345748 | Podiatry Associates Ambulatory Surgical Centers LLC | Clinic/Center | 9105 Franklin Square Dr Ste 206, Baltimore, MD 21237-3954 | 2020-01-09 |
| 1649735861 | Kuresmart Pain Management Surgery Center-catonsville LLC | Clinic/Center | 4660 Wilkens Ave Ste 208, Baltimore, MD 21229-4848 | 2019-02-01 |
| 1356890172 | Dialysis Access Services, LLC | Clinic/Center | 1666 Sulphur Spring Rd, Baltimore, MD 21227-2539 | 2016-09-22 |
| 1619274859 | Patuxent Surgical Services, LLC | Clinic/Center | 211 E Lombard St # 122, Baltimore, MD 21202-6102 | 2011-02-24 |
| 1962714154 | Surgcenter of White Marsh, LLC | Clinic/Center | 11605 Crossroads Cir, Baltimore, MD 21220-2865 | 2010-07-05 |
| 1255446910 | Downtown Baltimore Surgery Center, LLC | Clinic/Center | 20 W West St, Baltimore, MD 21230-3729 | 2006-08-20 |
| 1033141825 | Greenspring Surgery Center LLC | Clinic/Center | 2700 Quarry Lakes Dr., Suite 100, Baltimore, MD 21209 | 2006-07-06 |
| 1023055001 | Zion Ambulatory Center LLC | Clinic/Center | 9106 Philadelphia Rd Ste 108, Baltimore, MD 21237-4335 | 2006-05-31 |
| 1194778167 | Dr. Brian Kashan, D.p.m., Pa | Clinic/Center | 6506 Reisterstown Rd, Baltimore, MD 21215-2304 | 2006-05-18 |
| 1932732773 | Clarkview Surgery Center LLC | Clinic/Center | 1427 Clarkview Rd Ste 300, Baltimore, MD 21209-2100 | 2020-02-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.