STATCARE GROUP LLC (NPI# 1861448813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861448813 |
| Entity Type | Organization |
| Organization Name | STATCARE GROUP LLC |
| Other Organization Name | CHOICEONE URGENT CARE OF TOWSON |
| Practice Address |
14237 Jarrettsville Pike Phoenix MD 21131-1403 |
| Mailing Address |
1400 Front Avenue Suite 109 Lutherville MD 21093 |
| Practice Telephone | 4106504735 |
| Practice Fax Number | 4106504734 |
| Mailing Telephone | 4102967190 |
| Mailing Fax Number | 4439917768 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | DR. SCOTT THEODORE BURGER (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 4102967190 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
MD | Ambulatory Health Care Facilities | |
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ChoiceOne Urgent Care of Towson | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1730 Merritt Blvd, Dundalk, MD 212223212 | 4106504731 | |
| 600 E Belvedere Ave Ste A, Baltimore, MD 212123713 | 4102960018 | |
| 711 W 40th St Ste 173, Baltimore, MD 212112147 | 4439611221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097539 | Statcare Group LLC | Clinic/Center | 11804 Reisterstown Rd, Reisterstown, MD 21136-3311 | 2020-09-09 |
| 1427425933 | Statcare Group LLC | Clinic/Center | 1730 Merritt Blvd, Dundalk, MD 21222-3212 | 2015-09-01 |
| 1609243112 | Statcare Group LLC | Clinic/Center | 1220a E Joppa Rd Ste 109, Towson, MD 21286-5816 | 2015-09-01 |
| Street Address |
14237 JARRETTSVILLE PIKE |
| City | PHOENIX |
| State | MD |
| Zip Code | 21131-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847845 | Umms Ambulatory Care LLC | Clinic/Center | 14237 Jarrettsville Pike, Phoenix, MD 21131-1403 | 2020-10-07 |
| 1629542261 | Betty Yurganova | Physician Assistant | 14237 Jarrettsville Pike, Phoenix, MD 21131-1403 | 2019-01-16 |
| 1750867305 | Sherry Marie Pearson | Nurse Practitioner | 14237 Jarrettsville Pike, Phoenix, MD 21131-1403 | 2018-07-17 |
| 1346750353 | Margaret Smith Aeschliman | Nurse Practitioner | 14237 Jarrettsville Pike, Phoenix, MD 21131-1403 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114118387 | Mina Kirkova | Social Worker | 3009 Jackson Ridge Ct, Phoenix, MD 21131 | 2007-08-05 |
| 1629101381 | Kenneth Barry Sharoff | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131 | 2007-03-13 |
| 1508999798 | Nancy Lee Sharoff | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131 | 2007-03-14 |
| 1093977134 | Amy Ruth Rakusin | Counselor | 10 Cross Creek Ct, Phoenix, MD 21131-1000 | 2008-06-30 |
| 1932493616 | Kenneth Sharoff, Phd Inc. | Social Worker | 1 Cross Creek Ct, Phoenix, MD 21131-1000 | 2011-05-31 |
| 1063608735 | Catherine Anderson North | Radiology | 1410 Phoenix Rd W, Phoenix, MD 21131-1024 | 2007-09-17 |
| 1528482643 | Charles Warnke | Speech-Language Pathologist | 13 Stonewood Ct, Phoenix, MD 21131-1116 | 2014-02-10 |
| 1699259580 | Keith Dibenedetto | Nurse Practitioner | 2617 Stockton Rd, Phoenix, MD 21131-1117 | 2018-09-18 |
| 1952775694 | Aileen Mccausland | Occupational Therapy Assistant | 2515 Stockton Rd, Phoenix, MD 21131-1127 | 2015-11-18 |
| 1124309430 | Amanda Brady Watters Gorman | Registered Nurse | 2113 Highland Ridge Dr, Phoenix, MD 21131-1217 | 2011-08-31 |
| Find all providers in zip 21131 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| 1972069417 | Honorhealth Urgent Care, LLC | Clinic/Center | 1515 E Bethany Home Rd Ste 120b, Phoenix, AZ 85014-2495 | 2019-02-20 |
| 1649736380 | Honorhealth Urgent Care, LLC | Clinic/Center | 18404 N Tatum Blvd Ste 101c, Phoenix, AZ 85032-1511 | 2019-02-19 |
| 1063984680 | Banner Urgent Care Services, LLC | Clinic/Center | 1940 W Glendale Ave, Phoenix, AZ 85021-7840 | 2018-12-20 |
| 1750853388 | Banner Urgent Care Services, LLC | Clinic/Center | 3247 E Bell Rd Ste 1, Phoenix, AZ 85032-2707 | 2018-12-20 |
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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.