Annapolis Surgery Pavilion, LLC.

Annapolis Surgery Pavilion, LLC. is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Annapolis, MD, holding Type 2 (organization) NPI 1619324068 since 2016. The authorized official on file is Tina Dimarino, Administrator.

✓ Active NPI ✓ Valid NPI checksum

NPI	1619324068
Entity type	Organization (Type 2)
Legal business name	Annapolis Surgery Pavilion, LLC.
Practice address	166 DEFENSE HWY STE 101, Annapolis, MD, 21401
Phone	4106431999
Enumeration date	2016-05-16
Last updated in NPPES	2016-08-03

Authorized official

Name	Tina Dimarino
Title	Administrator
Phone	4109355194

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QA1903X	Ambulatory Surgical Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Annapolis Surgery Pavilion, LLC.
NPI: 1619324068
Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center)
Address: 166 DEFENSE HWY STE 101, Annapolis, MD, 21401

Providers at this address

NPI	Name	Type	Specialty	Location
1861436156	Robert Corder	Individual	Emergency Medicine Physician	Annapolis, MD
1306172309	Vein and Wellness Group, LLC	Organization	Multi-Specialty Clinic/Center	Annapolis, MD
1902359730	Alexandra Weiss	Individual	Family Nurse Practitioner	Annapolis, MD
1003564964	Jillian Preston	Individual	Family Nurse Practitioner	Annapolis, MD
1437017670	Valerie Gerard	Individual	Family Nurse Practitioner	Annapolis, MD

Verify this record

Cross-check NPI 1619324068 against the authoritative CMS record: view Annapolis Surgery Pavilion, LLC. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Annapolis Surgery Pavilion, LLC. located?

The practice location on file with NPPES is in Annapolis, MD.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-08-03. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-08-03.