STATCARE GROUP, LLC (NPI# 1316466881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316466881 |
| Entity Type | Organization |
| Organization Name | STATCARE GROUP, LLC |
| Other Organization Name | CHOICEONE URGENT CARE OF TOWSON |
| Practice Address |
711 W 40th St Ste 173 Baltimore MD 21211-2147 |
| Mailing Address |
1400 Front Ave Ste 300 Lutherville MD 21093-5364 |
| Practice Telephone | 4102967190 |
| Mailing Telephone | 4102967190 |
| Mailing Fax Number | 4439917768 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |
| Authorized Official Name | DR. SCOTT THEODORE BURGER (CHIEF MEDICAL OFFICE) |
| Authorized Official Telephone | 4102967190 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | STATCARE GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ChoiceOne Urgent Care of Towson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1841772589 | Statcare Group, LLC | Clinic/Center | 11804 Reisterstown Rd, Reisterstown, MD 21136-3311 | 2018-08-29 |
| 1588146229 | Statcare Group, LLC | Clinic/Center | 600 E Belvedere Ave Ste A, Baltimore, MD 21212-3713 | 2018-08-29 |
| Street Address |
711 W 40TH ST STE 173 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21211-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726649 | Umms Ambulatory Care LLC | Clinic/Center | 711 W 40th St Ste 173, Baltimore, MD 21211-2147 | 2020-10-07 |
| 1902438062 | Christian Gragasin | Nurse Practitioner | 711 W 40th St Ste 173, Baltimore, MD 21211-2147 | 2020-02-06 |
| 1871065441 | Molly Rice | Nurse Practitioner | 711 W 40th St Ste 173, Baltimore, MD 21211-2147 | 2018-12-20 |
| 1285137497 | Rebecca Gum | Nurse Practitioner | 711 W 40th St Ste 173, Baltimore, MD 21211-2147 | 2018-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308322 | Deep Roots Wellness | Social Worker | 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 | 2019-10-24 |
| 1194214981 | Heather Carr Bergan | Physical Therapy Assistant | Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 | 2018-05-07 |
| 1427546100 | Rebecca Meredith | Student in an Organized Health Care Education/Training Program | 843 Powers St, Baltimore, MD 21211 | 2018-04-27 |
| 1851896534 | Dexter Kendrick | Acupuncturist | 2700 Reminton Ave, Baltimore, MD 21211 | 2018-03-26 |
| 1770092678 | Bethany Grove | Counselor | 3433 Chestnut Ave, Baltimore, MD 21211 | 2017-09-22 |
| 1184140857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 Remington Ave Ste 500, Baltimore, MD 21211 | 2017-08-15 |
| 1528589116 | Natalie C Hung | Psychologist | 623 W 34th St Ste 105, Baltimore, MD 21211 | 2017-07-05 |
| 1003359332 | Hannah Elise Rose | Counselor | 711 W 40th Street, Suite 425, Baltimore, MD 21211 | 2016-11-17 |
| 1376091876 | Penelope Kaikis | Speech-Language Pathologist | 3825 Greenspring Avenue, Baltimore, MD 21211 | 2016-09-14 |
| 1265862429 | Alexandra Theo Samets | Social Worker | The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 | 2013-11-25 |
| Find all providers in zip 21211 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858240 | Quick Care Clinic Usa. LLC | Clinic/Center | 1807 Pennsylvania Ave, Baltimore, MD 21217-3214 | 2020-07-07 |
| 1588146229 | Statcare Group, LLC | Clinic/Center | 600 E Belvedere Ave Ste A, Baltimore, MD 21212-3713 | 2018-08-29 |
| 1871031872 | Mnr Industries LLC | Clinic/Center | 1470 Martin Blvd, Baltimore, MD 21220-4111 | 2017-02-09 |
| 1689079881 | Fast Care Medical Aid Unit, LLC | Clinic/Center | 5801 Belair Rd, Suite 100, Baltimore, MD 21206-2608 | 2014-10-30 |
| 1306241617 | Mnr Industries LLC | Clinic/Center | 3815 Wilkens Ave, Baltimore, MD 21229-5036 | 2014-10-29 |
| 1447662663 | Medstar Urgent Care, LLC | Clinic/Center | 1420 Key Hwy Ste 200, Baltimore, MD 21230-5116 | 2014-05-22 |
| 1598199093 | Medstar Urgent Care | Clinic/Center | 8605 Ridgely's Choice Drive, Baltimore, MD 21236 | 2013-09-03 |
| 1689857880 | American Current Care Pa | Clinic/Center | 1419 Knecht Avenue, Baltimore, MD 21227-1415 | 2007-12-11 |
| 1144403346 | American Current Care Pa | Clinic/Center | 100 South Charles Street, Suite 150, Baltimore, MD 21201-2725 | 2007-12-11 |
| 1134726649 | Umms Ambulatory Care LLC | Clinic/Center | 711 W 40th St Ste 173, Baltimore, MD 21211-2147 | 2020-10-07 |
| Find all providers in BALTIMORE | ||||
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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.