Healthcare Provider Details

I. General information

NPI: 1942178223
Provider Name (Legal Business Name): SURGICAL ASSOCIATES OF ANNAPOLIS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 S CATON AVE STE 101
BALTIMORE MD
21227-1029
US

IV. Provider business mailing address

PO BOX 442
ARNOLD MD
21012-0442
US

V. Phone/Fax

Practice location:
  • Phone: 410-992-4300
  • Fax:
Mailing address:
  • Phone: 410-992-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER L DIXON
Title or Position: OWNER
Credential: MD
Phone: 732-829-6108