PRINCE FREDERICK SURGERY CENTER LLC – NPI #1366684326
Clinic/Center

PRINCE FREDERICK SURGERY CENTER LLC is an AHC clinic located in PRINCE FREDERICK, MD. NPPES has assigned the NPI number 1366684326 to PRINCE FREDERICK SURGERY CENTER LLC on April 06, 2009. 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 last updated on Jan 10, 2025. 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 PRINCE FREDERICK SURGERY CENTER LLC below.

NPI Profile for
PRINCE FREDERICK SURGERY CENTER LLC

NPI Number
1366684326
Enumeration Date

(more than 17 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
PRINCE FREDERICK SURGERY CENTER LLC
Primary location
70 SHERRY LANE
SUITE 101
PRINCE FREDERICK, MD 20678
Phone: (417) 889-2040 Fax: (417) 887-2125
Mailing address
70 SHERRY LN STE 101
PRINCE FREDERICK, MD 20678-3276
Phone: (443) 486-4230 Fax: (443) 486-4231
Organization Subpart
No
Authorized Official
JONATHAN BAILEY
OFFICER/AUTHORIZED OFFICIAL
Phone: (203) 609-1168
Updated
Certification Date
Jan 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
CSV
Affiliation
Y
Endpoint Location
64 S PRICE RD STE B,
BROWNSVILLE, TX 77025-1669