Shady Grove Ambulatory Surgery Center,llc
NPI 1558463257 · Ambulatory Surgical Clinic/Center · Gaithersburg, MD
Shady Grove Ambulatory Surgery Center,llc is a Ambulatory Surgical Clinic/Center organization in Gaithersburg, MD (NPI 1558463257).
Provider details
- NPI number
- 1558463257
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Footer, Medical Director(301) 948-2995
- License
- A1135 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-02
- Last updated
- 2009-08-25
Frequently asked questions
- What is Shady Grove Ambulatory Surgery Center,llc's NPI number?
- Shady Grove Ambulatory Surgery Center,llc's National Provider Identifier (NPI) is 1558463257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Grove Ambulatory Surgery Center,llc?
- Shady Grove Ambulatory Surgery Center,llc is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shady Grove Ambulatory Surgery Center,llc located?
- Shady Grove Ambulatory Surgery Center,llc's practice location on file with NPPES is 16220 S Frederick Ave, Gaithersburg, MD 20877-4039.
- What is Shady Grove Ambulatory Surgery Center,llc's phone number?
- The practice phone number listed in the NPPES registry for Shady Grove Ambulatory Surgery Center,llc is (301) 948-2995.
- Who is the authorized official for Shady Grove Ambulatory Surgery Center,llc?
- The authorized official listed on Shady Grove Ambulatory Surgery Center,llc's NPPES record is Ronald Footer, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Grove Ambulatory Surgery Center,llc's NPI active?
- Yes — Shady Grove Ambulatory Surgery Center,llc's NPI (1558463257) is active in the NPPES registry as of the last update on 2009-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.