MARYLAND SPINE AND SPORTS SURGI-CENTER, L.L.C. – NPI #1154623452
Clinic/Center

MARYLAND SPINE AND SPORTS SURGI-CENTER, L.L.C. is an AHC clinic located in CLARKSVILLE, MD. NPPES has assigned the NPI number 1154623452 to MARYLAND SPINE AND SPORTS SURGI-CENTER, L.L.C. on November 19, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 14 years ago on Dec 28, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARYLAND SPINE AND SPORTS SURGI-CENTER, L.L.C. below.

NPI Profile for
MARYLAND SPINE AND SPORTS SURGI-CENTER, L.L.C.

NPI Number
1154623452
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARYLAND SPINE AND SPORTS SURGI-CENTER, L.L.C.
Primary location
5005 SIGNAL BELL LN
SUITE 207
CLARKSVILLE, MD 21029-2606
Phone: (443) 535-9900 Fax: (443) 535-9901
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CLARK BRILL
DIRECTOR
Phone: (443) 535-9900
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 MD A1518

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.