Provider Demographics
NPI:1295385482
Name:JOHNS HOPKINS SURGERY CENTERS SERIES
Entity Type:Organization
Organization Name:JOHNS HOPKINS SURGERY CENTERS SERIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISHII
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-583-7185
Mailing Address - Street 1:10803 FALLS RD STE 2500
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4573
Mailing Address - Country:US
Mailing Address - Phone:410-583-7185
Mailing Address - Fax:
Practice Address - Street 1:6420 ROCKLEDGE DR STE 2100
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-7841
Practice Address - Country:US
Practice Address - Phone:301-896-6850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical