9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC NPI 1942485305

NPI Information

  • NPI: 1942485305
  • Provider Name: 9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 21D2024551
  • Address: 9106 PHILADELPHIA RD
    SUITE 306
    BALTIMORE, MD
    ZIP 21237
  • Phone: (410) 687-2656

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NPI Details

9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC is an ambulatory surgical clinic center in Baltimore, MD. 9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER LLC NPI is 1942485305. The provider is registered as an organization entity type.

The provider's business location address is:

9106 PHILADELPHIA RD
SUITE 306
BALTIMORE, MD
ZIP 21237
Phone: (410) 687-2656
Fax: (410) 687-3805

The provider's authorized official is Gabriel Martinez .
The authorized official title is Owner/md and has the following contact phone number (410) 687-2656.

The CLIA number assigned to this NPI record is 21D2024551 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)

The enumeration date for this NPI number is 1/4/2008 and was last updated on 4/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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