MARYLAND EYE SURGERY CENTER, L.L.C. (NPI# 1255347050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255347050 |
| Entity Type | Organization |
| Organization Name | MARYLAND EYE SURGERY CENTER, L.L.C. |
| Other Organization Name | THE SURGERY CENTER |
| Practice Address |
800 Prince Frederick Blvd. Prince Frederick MD 20678 |
| Practice Telephone | 4105352270 |
| Practice Fax Number | 4105355749 |
| Mailing Telephone | 4105352270 |
| Mailing Fax Number | 4105355749 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | MR. DONALD BARTNICK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4105352270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A1333 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 748101200 | 05 | |
| RAILROAD MEDICARE | 49004995 | 01 | |
| DC | GHMSI | PN9 | 01 |
| MD | CAREFIRST BCBS | 02RX | 01 |
| MAMSI | 293323 | 01 | |
| AETNA HMO | 2667944 | 01 | |
| AETNA PPO | 7819207 | 01 |
| Other Name | Type Code |
|---|---|
| The Surgery Center | Doing Business As Name - Organization |
| Street Address |
800 PRINCE FREDERICK BLVD. |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689680845 | Scott Douglas Burge | Optometrist | 800 Prince Frederick Blvd., Prince Frederick, MD 20678 | 2006-07-31 |
| 1639187875 | Michael J. Dodd, M.d., P.a. | Ophthalmology | 800 Prince Frederick Blvd., Prince Frederick, MD 20678 | 2006-08-04 |
| 1457369852 | Kathleen Haas Miller | Ophthalmology | 800 Prince Frederick Blvd., Prince Frederick, MD 20678 | 2006-08-03 |
| 1558377713 | Jason Brent Wanner | Ophthalmology | 800 Prince Frederick Blvd., Prince Frederick, MD 20678 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341942 | Meraj Asc, LLC | Clinic/Center | 1015 N. Prince Frederick Blvd., Prince Frederick, MD 20676 | 2018-10-02 |
| 1356645451 | Plastic Surgery Center of Southern Maryland, LLC | Clinic/Center | 70 Sherry Ln Ste 203, Prince Frederick, MD 20678-3275 | 2011-01-04 |
| 1285944504 | Newbridge Surgery Center At Prince Frederick, LLC | Clinic/Center | 80 Sherry Ln Ste 101b, Prince Frederick, MD 20678-3232 | 2010-10-20 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1962011775 | Clearway Surgery Center of Prince Frederick | Clinic/Center | 110 Hospital Rd Ste 304, Prince Frederick, MD 20678-4046 | 2020-07-28 |
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|---|---|---|---|---|
| 1942807961 | Vascular Surgery Center of Abingdon | Clinic/Center | 3435 Box Hill Corporate Center Dr Ste H, Abingdon, MD 21009-1204 | 2020-10-02 |
| 1518570084 | Eastside Anesthesia LLC | Clinic/Center | 19 Fontana Ln Ste 104, Rosedale, MD 21237-3027 | 2020-08-25 |
| 1215548524 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 800 Bestgate Rd Ste 200, Annapolis, MD 21401-3016 | 2020-08-11 |
| 1861001372 | Bay Surgery Centers LLC | Clinic/Center | 810 Bestgate Rd Ste 120, Annapolis, MD 21401-3033 | 2020-07-30 |
| 1417566217 | Clearway Surgery Center of Easton, LLC | Clinic/Center | 598 Cynwood Dr Ste 103, Easton, MD 21601-3875 | 2020-07-28 |
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1528680865 | Meridian Surgery Center LLC | Clinic/Center | 19638 Leitersburg Pike Ste 205, Hagerstown, MD 21742-1515 | 2020-05-09 |
| 1346862869 | Nspc Surgery Center of Maryland, LLC | Clinic/Center | 6710 Oxon Hill Rd Ste 550b, Oxon Hill, MD 20745-1117 | 2020-05-07 |
| 1225665292 | Annapolis Endoscopy Center LLC | Clinic/Center | 1419 Forest Dr Ste 105, Annapolis, MD 21403-1474 | 2020-03-26 |
| 1992345748 | Podiatry Associates Ambulatory Surgical Centers LLC | Clinic/Center | 9105 Franklin Square Dr Ste 206, Baltimore, MD 21237-3954 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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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.