STATCARE GROUP, LLC (NPI# 1841772589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841772589 |
| Entity Type | Organization |
| Organization Name | STATCARE GROUP, LLC |
| Practice Address |
11804 Reisterstown Rd Reisterstown MD 21136-3311 |
| Mailing Address |
3711 S Mo Pac Expy Bldg 2 Ste 400 Austin TX 78746 |
| Practice Telephone | 4107534841 |
| Mailing Telephone | 5122715844 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | SCOTT THEODORE BURGER (CMO) |
| Authorized Official Telephone | 4102960018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| 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 |
| 1588146229 | Statcare Group, LLC | Clinic/Center | 600 E Belvedere Ave Ste A, Baltimore, MD 21212-3713 | 2018-08-29 |
| 1316466881 | Statcare Group, LLC | Clinic/Center | 711 W 40th St Ste 173, Baltimore, MD 21211-2147 | 2017-09-15 |
| Street Address |
11804 REISTERSTOWN RD |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097539 | Statcare Group LLC | Clinic/Center | 11804 Reisterstown Rd, Reisterstown, MD 21136-3311 | 2020-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| Find all providers in zip 21136 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097539 | Statcare Group LLC | Clinic/Center | 11804 Reisterstown Rd, Reisterstown, MD 21136-3311 | 2020-09-09 |
| 1841694676 | Carroll Urgent Care, LLC | Clinic/Center | 42 Main Street, Reisterstown, MD 21136 | 2014-10-22 |
| 1871657825 | Immediate Care Urgent Care-reisterstown, LLC | Clinic/Center | 11722 Reisterstown Rd, Reisterstown, MD 21136-3302 | 2006-12-21 |
| 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 | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
Please comment or provide details below to improve the information on STATCARE GROUP, LLC.
| 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.