9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC – NPI #1942485305
Clinic/Center

9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC is an AHC clinic located in BALTIMORE, MD. NPPES has assigned the NPI number 1942485305 to 9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC on January 04, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 5 years ago on Apr 16, 2021. 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 9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC below.

NPI Profile for
9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC

NPI Number
1942485305
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
9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC
Primary location
9106 PHILADELPHIA RD
SUITE 306
BALTIMORE, MD 21237
Phone: (410) 687-2656 Fax: (410) 687-3805
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GABRIEL MARTINEZ
OWNER/MD
Phone: (410) 687-2656
Updated
Certification Date
Apr 16, 2021

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)
261Q00000X
- Clinic/Center

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.