Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
RIVERSIDE AMBULATORY SURGERY CENTER LLC
Active
Organization
RIVERSIDE AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN THOMAS D.P.M. (MEDICAL DIRECTOR)
(410) 749-0121
Entity
Organization
Contact information
Practice address
560 RIVERSIDE DRIVE, #A-101, SALISBURY, MD 21801-4700
(410) 749-0121
(410) 749-6807
Mailing address
560 RIVERSIDE DRIVE, #A-101, SALISBURY, MD 21801-4700
(410) 749-0121
(410) 749-6807
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1077
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023T
CAREFIRST
MD
01
—
320088
UNITED HEALTHCARE
MD
01
—
NN1
BLUE SHEILD
DC
05
—
T78068100
—
MD
Enumeration date
01/23/2006
Last updated
03/20/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up