MEDICARE: GYNEMED ASC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1720930449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GYNEMED ASC LLC

Provider Business Mailing Address
First Line	:	16 FRANCIS ST
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-1772
Country	:	US
Telephone Number	:	443-600-8775
Fax Number	:	202-381-9979

Provider Business Practice Location Address
First Line	:	17 FONTANA LN STE 201
Second Line	:
City	:	ROSEDALE
State	:	MD
Zip	:	21237-3045
Country	:	US
Telephone Number	:	443-600-8775
Fax Number	:	202-381-9979

Authorized Official
Title or Position	:	OWNER/MEDICAL DIRECTOR
Name	:	DR. STEPHANIE PURNELL
Credential	:	MD
Telephone Number	:	443-600-8775

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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