Phoenix Surgical Care

LBN: Phoenix Surgical Care Llc
Phoenix Surgical Care is an health care organization with primary practice located at 174 Thomas Johnson Dr Ste 100 , Frederick MD 21702-4569. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Phoenix Surgical Care Llc can be contacted via phone (301) 662-2000, or through Malcolm, Jasmine via phone (301) 662-2000.

Contact Information

Primary practice address
174 Thomas Johnson Dr Ste 100 Frederick MD 21702-4569
Phone: (301) 662-2000
Fax: (301) 662-2500
Website:
Map and Directions
Authorized official contact:
Name: Malcolm, Jasmine Doctor of Medicine (MD)
Phone: (301) 662-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1518593797
LBN Legal business name Phoenix Surgical Care Llc
DBA Doing business as Phoenix Surgical Care
Authorized official Malcolm, Jasmine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2020
Last updated Jul 12th, 2022 - 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 1518593797 NPPES
Maryland Other D0073819 STATE OF MARYLAND (DEPARTMENT OF HEALTH)

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