Annapolis Ent Surgical Center, Llc

LBN: Annapolis Ent Surgical Center, Llc
Annapolis Ent Surgical Center, Llc is an health care organization with primary practice located at 2002 Medical Parkway Suite 230A, Annapolis MD 21401-3046. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Annapolis Ent Surgical Center, Llc can be contacted via phone (410) 266-6267, or through Heacock, Gregory via phone (410) 841-5279.

Contact Information

Primary practice address
2002 Medical Parkway Suite 230A Annapolis MD 21401-3046
Phone: (410) 266-6267
Fax: (410) 266-8962
Website:
Map and Directions
Authorized official contact:
Name: Heacock, Gregory Doctor of Medicine (MD)
Phone: (410) 841-5279

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X A1360 Maryland

Profile Details

NPI number 1629094917
LBN Legal business name Annapolis Ent Surgical Center, Llc
DBA Doing business as
Authorized official Heacock, Gregory Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Dec 3rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629094917 NPPES
Maryland MEDICAID 400841300

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