BAYSIDE SURGICAL CENTER, INC. (NPI# 1407967706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407967706 |
| Entity Type | Organization |
| Organization Name | BAYSIDE SURGICAL CENTER, INC. |
| Practice Address |
8023 Ritchie Hwy Pasadena MD 21122-7107 |
| Practice Telephone | 4107614190 |
| Practice Fax Number | 4107610265 |
| Mailing Telephone | 4107614190 |
| Mailing Fax Number | 4107610265 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-06-01 |
| Authorized Official Name | DR. ROSS SAMUEL COHEN (PRESIDENT) |
| Authorized Official Telephone | 4107614190 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A1167 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BS FEDERAL PROV NUMBER | MT8 | 01 |
| MD | CAREFIRST BS PROV NUMBER | 02AP | 01 |
| Street Address |
8023 RITCHIE HWY |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-7107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268485 | Ross Samuel Cohen | Podiatrist | 8023 Ritchie Hwy, Pasadena, MD 21122-7107 | 2005-07-13 |
| 1124385505 | Pasadena Foot and Ankle Center, LLC | Podiatrist | 8023 Ritchie Hwy, Pasadena, MD 21122-7107 | 2012-04-23 |
| 1336264951 | Bayside Foot & Ankle Center | Podiatrist | 8023 Ritchie Hwy, Pasadena, MD 21122-7107 | 2007-03-20 |
| 1972501906 | Joseph Gerard Proebstle | Podiatrist | 8023 Ritchie Hwy, Pasadena, MD 21122-7107 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739147 | Pasadena Ambulatory Surgery Center LLC | Clinic/Center | 301 S Fair Oaks Ave Ste 106, Pasadena, CA 91105-2536 | 2020-08-04 |
| 1447714829 | Chesapeake Plastic Surgery Suite | Clinic/Center | 8028 Ritchie Hwy Ste 100, Pasadena, MD 21122-1020 | 2019-01-30 |
| 1932679461 | Arcadia Outpatient Surgery Center Lp | Clinic/Center | 625 S Fair Oaks Ave Ste 380, Pasadena, CA 91105-2683 | 2018-11-27 |
| 1295204113 | Huntington Specialty Surgery LLC | Clinic/Center | 39 Congress St Ste 310, Pasadena, CA 91105-3024 | 2018-11-20 |
| 1780188052 | Altadena Surgery Center, LLC | Clinic/Center | 2615 E Washington Blvd Ste 100, Pasadena, CA 91107-1412 | 2018-03-21 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1437523834 | Crenshaw Ambulatory Surgical Center, LLC | Clinic/Center | 5150 Crenshaw Road, Suite H 100, Pasadena, TX 77505-3094 | 2015-11-23 |
| 1801288089 | Greater Houston Oral and Facial Surgery,pa | Clinic/Center | 4007 Woodlawn Ave, Pasadena, TX 77504-1910 | 2015-02-25 |
| 1548651623 | Northwest Surgical Development of Pasadena LLC | Clinic/Center | 150 E Colorado Blvd, Ste 102, Pasadena, CA 91105-1937 | 2015-02-11 |
| 1871939082 | Raymond Renaissance Surgery Center LLC | Clinic/Center | 125 N Raymond Ave Suite 212, Pasadena, CA 91105-4535 | 2013-05-14 |
| Find all providers in PASADENA | ||||
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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.