COLUMBIA UROLOGICAL SURGICAL CENTER, L.L.C. (NPI# 1689749350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689749350 |
| Entity Type | Organization |
| Organization Name | COLUMBIA UROLOGICAL SURGICAL CENTER, L.L.C. |
| Other Organization Name | COLUMBIA UROLOGICAL SURGERY CENTER, LLC |
| Practice Address |
11085 Little Patuxent Pkwy Suite 204 Columbia MD 21044-2983 |
| Mailing Address |
11085 Little Patuxent Pkwy Suite 207 Columbia MD 21044-2983 |
| Practice Telephone | 4109975422 |
| Practice Fax Number | 4109974359 |
| Mailing Telephone | 4109975422 |
| Mailing Fax Number | 4109974359 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | DR. JOHN JOSEPH KISHEL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4109975422 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL MARYLAND UROLOGY ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QL0400X |
Clinic/Center Specialization: Lithotripsy |
A1142 | MD | Ambulatory Health Care Facilities |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A1142 | MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Columbia Urological Surgery Center, LLC | Doing Business As Name - Organization |
| Street Address |
11085 LITTLE PATUXENT PKWY SUITE 204 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-2983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750541 | Francis Chuidian | Internal Medicine | 11085 Little Patuxent Pkwy, Suite 202, Columbia, MD 21044-2983 | 2005-06-16 |
| 1851708150 | Jodi Yatto | Speech-Language Pathologist | 11085 Little Patuxent Pkwy, Suite 101, Columbia, MD 21044-2983 | 2014-07-18 |
| 1568730414 | Columbia Patient Care Associates, LLC | Internal Medicine | 11085 Little Patuxent Pkwy, Medical Arts Bldg - Ste L001, Columbia, MD 21044-2983 | 2011-12-07 |
| 1730405283 | Jessica Ann Cronin | Anesthesiology | 11085 Little Patuxent Pkwy, Medical Arts Bldg, 004, Columbia, MD 21044-2983 | 2010-04-08 |
| 1457516940 | Physical Therapy Partners, Incorporated | Clinic/Center | 11085 Little Patuxent Pkwy, Suite 207, Columbia, MD 21044-2983 | 2008-07-23 |
| 1407034390 | Wendy M. Jackson | Pharmacist | 11085 Little Patuxent Pkwy, Columbia, MD 21044-2983 | 2008-02-04 |
| 1235317249 | Alan Goldstein | Pharmacist | 11085 Little Patuxent Pkwy, Columbia, MD 21044-2983 | 2008-02-01 |
| 1053508598 | Sheetal Patel | Physical Therapist | 11085 Little Patuxent Pkwy, Physical Therapy Partners, Suite 207, Columbia, MD 21044-2983 | 2007-09-28 |
| 1154512549 | Zeenat Nadeem Hashmi | Family Medicine | 11085 Little Patuxent Pkwy, Suite 104, Columbia, MD 21044-2983 | 2007-08-09 |
| 1578771606 | Jo-hsin Chen | Psychiatry & Neurology | 11085 Little Patuxent Pkwy, Suite 212, Columbia, MD 21044-2983 | 2007-05-21 |
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|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871052712 | Kuresmart Pain Management Surgery Center-columbia LLC | Clinic/Center | 5500 Knoll North Dr Ste 501, Columbia, MD 21045-2370 | 2019-03-19 |
| 1720514359 | Johns Hopkins Surgery Centers Series | Clinic/Center | 5450 Knoll North Dr Ste 301, Columbia, MD 21045-2373 | 2017-05-02 |
| 1760860977 | Mid Missouri Surgery Center, LLC | Clinic/Center | 1410 Forum Katy Parkway, Suite 102, Columbia, MO 65203 | 2015-05-08 |
| 1457779399 | Csa Surgical Center LLC | Clinic/Center | 3220 Bluff Creek Dr Ste 104, Columbia, MO 65201-3664 | 2014-03-28 |
| 1780998633 | Parkridge Surgery Center LLC | Clinic/Center | 190 Parkridge Dr Ste 108, Columbia, SC 29212-1748 | 2010-08-03 |
| 1831360247 | Surgical Center At Columbia Orthopaedic Group LLC | Clinic/Center | 1 South Keene, Columbia, MO 65201-6645 | 2008-03-13 |
| 1649393695 | Columbia Md Orthopaedic Asc, LLC | Clinic/Center | 10700 Charter Dr #301, Columbia, MD 21044-4000 | 2007-04-06 |
| 1568510196 | Columbia Surgery Center Inc | Clinic/Center | 338 Harbison Blvd, Columbia, SC 29212-2248 | 2007-01-08 |
| 1104851088 | Maryland Surgeons Center of Columbia | Clinic/Center | 11055 Little Patuxent Pky, Suite L-6, Columbia, MD 21044 | 2006-07-11 |
| 1801827993 | South Carolina Endoscopy Center - Northeast | Clinic/Center | 11 Gateway Corners Park, Columbia, SC 29203-8902 | 2006-07-06 |
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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.