FREDERICK SURGICAL CENTER, LLC – NPI #1376542076
Clinic/Center

FREDERICK SURGICAL CENTER, LLC is an AHC clinic located in FREDERICK, MD. NPPES has assigned the NPI number 1376542076 to FREDERICK SURGICAL CENTER, LLC on July 15, 2005. 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 12 years ago on Oct 07, 2014. 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 FREDERICK SURGICAL CENTER, LLC below.

NPI Profile for
FREDERICK SURGICAL CENTER, LLC

NPI Number
1376542076
Enumeration Date

(about 21 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
FREDERICK SURGICAL CENTER, LLC
Primary location
45 THOMAS JOHNSON DRIVE
SUITE 207
FREDERICK, MD 21702
Phone: (301) 694-3400 Fax: (301) 694-3620
Mailing address
14000 N. PORTLAND AVENUE
SUITE 200
OKLAHOMA CITY, OK 73134-4004
Phone: (405) 608-1766 Fax: (405) 608-1866
Organization Subpart
No
Authorized Official
THOMAS NEWMAN
EVP AND COO
Phone: (405) 608-1709
Updated
Identifiers

Identifiers for FREDERICK SURGICAL CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMAMSIMD269918
OTHERMEDICARE PROVIDER NUMBERMDZZ70
MEDICAIDMD414472400
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 A1039

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.