Provider Demographics
NPI:1942233259
Name:SILVER SPRING SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:SILVER SPRING SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADAEZE
Authorized Official - Middle Name:I
Authorized Official - Last Name:OBIOHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-588-1425
Mailing Address - Street 1:1111 SPRING ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4003
Mailing Address - Country:US
Mailing Address - Phone:301-588-1425
Mailing Address - Fax:301-588-1490
Practice Address - Street 1:1111 SPRING ST
Practice Address - Street 2:SUITE 130
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4003
Practice Address - Country:US
Practice Address - Phone:301-588-1425
Practice Address - Fax:301-588-1490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical