ATLANTIC GENERAL HOSPITAL CORP (NPI# 1043714306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043714306 |
| Entity Type | Organization |
| Organization Name | ATLANTIC GENERAL HOSPITAL CORP |
| Practice Address |
9714 Healthway Dr Berlin MD 21811-1154 |
| Mailing Address |
10026 Old Ocean City Blvd Building #1 Berlin MD 21811-1288 |
| Practice Telephone | 4106413340 |
| Practice Fax Number | 4106413341 |
| Mailing Telephone | 4106419450 |
| Mailing Fax Number | 4106419515 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | CHERYL NOTTINGHAM (VP FINANCE/CFO) |
| Authorized Official Telephone | 4106419602 |
| Is Organization Subpart | Y |
| Parent Organization Name | ATLANTIC GENERAL HOSPITAL CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043756232 | Atlantic General Hospital Corp | Clinic/Center | 12308 Ocean Gtwy Ste 5, Ocean City, MD 21842-9341 | 2017-01-11 |
| 1932423753 | Atlantic General Hospital Corp | Clinical Medical Laboratory | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2010-03-23 |
| 1710944848 | Atlantic General Hospital Corp | Clinic/Center | 500 Market St Ste 101, Pocomoke City, MD 21851-1171 | 2006-05-01 |
| 1053309120 | Atlantic General Hospital Corp | General Acute Care Hospital | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2005-10-12 |
| Street Address |
9714 HEALTHWAY DR |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522799 | Deborah Davis | Nurse Practitioner | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2005-10-18 |
| 1437768538 | Diane Elizabeth Skolka | Nurse Practitioner | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2020-07-24 |
| 1215574900 | Matthew Allen Powell | Social Worker | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2019-12-02 |
| 1609387679 | Katelyn R Busacca | Dietitian, Registered | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2017-10-18 |
| 1881070696 | Theresa Kleger | Social Worker | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2015-08-04 |
| 1356735880 | Bryce Blanton | Psychiatry & Neurology | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2015-03-23 |
| 1790034569 | Michelle L. Givens Farlow | Registered Nurse | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2012-09-07 |
| 1154638658 | Vanessa Sparta | Physician Assistant | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2010-09-03 |
| 1417180365 | Sharon Lynn Nayfack | Social Worker | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2009-08-26 |
| 1598903999 | Anita Pascucci | Pediatrics | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2009-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1285102764 | Black Rock Integrative Medicine | Clinic/Center | 17666 Technology Blvd, Hagerstown, MD 21740-2074 | 2018-11-02 |
| 1639664683 | The Heard Group, LLC | Clinic/Center | 6284 Hard Bargain Cir, Indian Head, MD 20640 | 2018-06-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.