SURGCENTER OF GLEN BURNIE – NPI #1942472931
Clinic/Center

SURGCENTER OF GLEN BURNIE is an AHC clinic located in GLEN BURNIE, MD. NPPES has assigned the NPI number 1942472931 to SURGCENTER OF GLEN BURNIE on March 31, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. 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 15, 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 SURGCENTER OF GLEN BURNIE below.

NPI Profile for
SURGCENTER OF GLEN BURNIE

NPI Number
1942472931
Enumeration Date

(more than 18 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
SURGCENTER OF GLEN BURNIE
Other name(s)
All associated names:

Doing Business As (dba)
SurgCenter of Glen Burnie, LLC
Primary location
308 HOSPITAL DR
STE 102
GLEN BURNIE, MD 21061
Phone: (410) 760-8100 Fax: (410) 760-8180
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JONATHAN BAILEY
OFFICER/AUTHORIZED OFFICIAL
Phone: (203) 609-1168
Updated
Certification Date
Jan 15, 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)		 MD

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