ATLANTIC GENERAL HOSPITAL CORP (NPI# 1932423753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932423753 |
Entity Type | Organization |
Organization Name | ATLANTIC GENERAL HOSPITAL CORP |
Other Organization Name | ATLANTIC GENERAL HOSPITAL LABORATORY |
Practice Address |
9733 Healthway Dr Berlin MD 21811-1155 |
Practice Telephone | 4106411100 |
Practice Fax Number | 4106419219 |
Mailing Telephone | 4106411100 |
Mailing Fax Number | 4106419219 |
Enumeration Date | 2010-03-23 |
Last Update Date | 2012-08-21 |
Authorized Official Name | CHERYL L NOTTINGHAM (VICE PRESIDENT OF FINANCE) |
Authorized Official Telephone | 4106419600 |
Authorized Official Credential | C.P.A., M.B.A. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 21D0869030 | MD | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 404233600 | 05 |
Other Name | Type Code |
---|---|
Atlantic General Hospital Laboratory | Doing Business As Name - Organization |
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 |
1043714306 | Atlantic General Hospital Corp | General Practice | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2018-03-21 |
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 |
9733 HEALTHWAY DR |
City | BERLIN |
State | MD |
Zip Code | 21811-1155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821097551 | Barbara Louise Manry | Nurse Practitioner | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2005-07-15 |
1962011668 | Stephanie Altman | Speech-Language Pathologist | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2020-07-28 |
1033739461 | Jessica Lauren Tate | Speech-Language Pathologist | 9733 Healthway Dr, Berlin, MD 21811-1156 | 2020-04-27 |
1306408612 | Atlantic General Hospital Corporation | Social Worker | 9733 Healthway Dr, Atlantic General Hospital, Berlin, MD 21811 | 2019-07-08 |
1104395649 | Jennifer Lee Giordano | Speech-Language Pathologist | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2018-11-14 |
1104302983 | Tracey Wooden | Nurse Practitioner | 9733 Healthway Dr, Berlin, MD 21811-1156 | 2018-07-16 |
1346609179 | Daniel Hakeem | Physician Assistant | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2016-02-22 |
1427450469 | Michelle Sirman-wells | Nurse Practitioner | 9733 Healthway Dr, Berlin, MD 21811-1156 | 2014-09-22 |
1003227729 | Atlantic General Hospital Corporation | Pharmacy | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2014-05-15 |
1851633499 | Tania Bellia-weiss | Nurse Practitioner | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2013-03-21 |
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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 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477816460 | Max-delbrueck-center for Molecular Medicine (mdc) | Clinical Medical Laboratory | Robert Roesslestrasse 10, Berlin, BERLIN 13125 | 2012-06-25 |
1114359635 | Androscoggin Valley Hospital, Inc | Clinical Medical Laboratory | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2013-08-07 |
1255400065 | Med Tech Clinical Laboratory,inc | Clinical Medical Laboratory | 175 Cross Keys Rd, Suite 203, Berlin, NJ 08009-9263 | 2006-11-07 |
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1669095600 | Aeon Technologies, LLC | Clinical Medical Laboratory | 1 Technology Dr Ste 1600, Frostburg, MD 21532-2499 | 2020-05-26 |
1093336349 | Personalized Medicine Care Diagnostics LLC | Clinical Medical Laboratory | 20271 Goldenrod Ln Fl 2, Germantown, MD 20876-4064 | 2020-04-28 |
1164058525 | Parj Diagnostics LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 211, Owings Mills, MD 21117-3902 | 2020-03-18 |
1437785896 | Meta Science LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 213, Owings Mills, MD 21117-3902 | 2020-03-18 |
1154956159 | Almat Bio Solutions LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 212, Owings Mills, MD 21117-3902 | 2020-03-10 |
1689206112 | Applied Immunogenetics Laboratory | Clinical Medical Laboratory | 11419 Cronridge Dr Ste 17, Owings Mills, MD 21117-6283 | 2020-02-12 |
1033749296 | Mprobe Inc | Clinical Medical Laboratory | 9600 Medical Center Dr Ste 300, Rockville, MD 20850-6329 | 2020-01-16 |
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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.