PLASTIC SURGERY CENTER OF SOUTHERN MARYLAND, LLC – NPI #1356645451
Clinic/Center

PLASTIC SURGERY CENTER OF SOUTHERN MARYLAND, LLC is an AHC clinic located in PRINCE FREDERICK, MD. NPPES has assigned the NPI number 1356645451 to PLASTIC SURGERY CENTER OF SOUTHERN MARYLAND, LLC on January 04, 2011. 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 15 years ago on Jan 11, 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 PLASTIC SURGERY CENTER OF SOUTHERN MARYLAND, LLC below.

NPI Profile for
PLASTIC SURGERY CENTER OF SOUTHERN MARYLAND, LLC

NPI Number
1356645451
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
PLASTIC SURGERY CENTER OF SOUTHERN MARYLAND, LLC
Primary location
70 SHERRY LN STE 203
PRINCE FREDERICK, MD 20678-3275
Phone: (410) 414-9844 Fax: (410) 414-9795
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILFRED EHRMANTRAUT
PRESIDENT OF ORGANIZATION/SURGEON
Phone: (410) 414-9844
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)

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.