UNIVERSITY OF MARYLAND CHARLES REGIONAL URGENT CARE, LLC (NPI# 1114393048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114393048 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MARYLAND CHARLES REGIONAL URGENT CARE, LLC |
| Practice Address |
500 Charles St La Plata MD 20646-5931 |
| Practice Telephone | 3016094699 |
| Mailing Telephone | 3016094699 |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |
| Authorized Official Name | ERIK BOAS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3016095163 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF MARYLAND CHARLES REGIONAL HEALTH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
500 CHARLES ST |
| City | LA PLATA |
| State | MD |
| Zip Code | 20646-5931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690327 | Mark Dumais | Internal Medicine | 500 Charles St, La Plata, MD 20646-5931 | 2005-09-21 |
| 1427538537 | Harcart Health Holdings LLC | Emergency Medicine | 500 Charles St, La Plata, MD 20646-5931 | 2018-08-17 |
| 1285976266 | Anastasia Amuzu | Audiologist-Hearing Aid Fitter | 500 Charles St, La Plata, MD 20646-5931 | 2013-03-18 |
| 1710247440 | Civista Clinical Services, LLC | Otolaryngology | 500 Charles St, La Plata, MD 20646-5931 | 2012-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1902387988 | Sheldon Villarta | Physical Therapist | 10200 La Plata Town, La Plata, MD 20646 | 2018-08-27 |
| 1912485244 | Kelli Hill Goldsborough | Nurse Practitioner | 5 N La Plata Ct Ste 101, La Plata, MD 20646 | 2018-07-30 |
| 1083128490 | Charles County Rescue Squad Inc | Ambulance | 2 Calvert St, La Plata, MD 20646 | 2017-11-21 |
| 1801261532 | Catherine Deshetler | Social Worker | 5 N Maple Ave Ste 206, La Plata, MD 20646 | 2015-12-07 |
| 1215346481 | Brittany Godin | Speech-Language Pathologist | 5 Garrett Avenue, La Plata, MD 20646 | 2014-08-12 |
| 1558787606 | Homeplace Assisted Living | Assisted Living Facility | 10210 La Plata Rd, La Plata, MD 20646 | 2014-03-13 |
| 1891056628 | Godfrey T Hewitt | Dentist | 6620 Crain Hwy #204, Laplata, MD 20646 | 2012-06-07 |
| 1740573823 | Armida Bondoc Gonzales | Physical Therapist | 15 S Maple Ave, Apt 2, La Plata, MD 20646 | 2011-05-23 |
| 1023315348 | Charity E Dugan | Surgery | Um Charles Regional Medical Group, 5 North La Plata Court Ste 103, La Plata, MP 20646 | 2011-02-23 |
| Find all providers in zip 20646 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524626 | Umms Ambulatory Care LLC | Clinic/Center | 28522 Marlboro Ave Ste C, Easton, MD 21601-2792 | 2020-10-07 |
| 1558968065 | Umms Ambulatory Care LLC | Clinic/Center | 1528 Rock Spring Rd Ste 100, Forest Hill, MD 21050-2861 | 2020-10-07 |
| 1245858240 | Quick Care Clinic Usa. LLC | Clinic/Center | 1807 Pennsylvania Ave, Baltimore, MD 21217-3214 | 2020-07-07 |
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1306474853 | Greater Baltimore Medical Center, Inc. | Clinic/Center | 63 E Padonia Rd Ste 125, Timonium, MD 21093-2306 | 2020-03-31 |
| 1174168033 | Rightplace Family Clinic | Clinic/Center | 8640 Guilford Rd Ste 233, Columbia, MD 21046-2664 | 2019-11-14 |
| 1215588686 | Mnr Industries, LLC | Clinic/Center | 615 Belair Rd, Ste Y, Bel Air, MD 21014-4311 | 2019-09-26 |
| 1780156455 | Statcare Group, LLC | Clinic/Center | 130 Hospital Rd Ste 102, Prince Frederick, MD 20678-4029 | 2018-12-19 |
| 1508338286 | Statcare Group, LLC | Clinic/Center | 14090 Hg Trueman Rd # 1300, Solomons, MD 20688-3151 | 2018-12-19 |
| 1871065540 | Statcare Group, LLC | Clinic/Center | 10845 Town Center Blvd Ste 108, Dunkirk, MD 20754-2712 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
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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.