STATCARE GROUP III, PC (NPI# 1902261308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902261308 |
| Entity Type | Organization |
| Organization Name | STATCARE GROUP III, PC |
| Other Organization Name | CHOICEONE URGENT CARE III |
| Practice Address |
8 Denton Plaza Denton MD 21629-9501 |
| Mailing Address |
1400 Front Avenue Suite 300 Lutherville MD 21093 |
| Practice Telephone | 4436062300 |
| Practice Fax Number | 4436062305 |
| Mailing Telephone | 4102967190 |
| Mailing Fax Number | 4439917768 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | DR. SCOTT T 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | LICENSE NUMBER | H0062737 | 01 |
| Other Name | Type Code |
|---|---|
| ChoiceOne Urgent Care III | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 28522 Marlboro Ave Ste C, Easton, MD 216012792 | 4437460086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| Street Address |
8 DENTON PLAZA |
| City | DENTON |
| State | MD |
| Zip Code | 21629-9501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
| Find all providers in zip 21629 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295938686 | Minor Emergency of Paris, Inc. | Clinic/Center | 4400 Teasley Lane, Suite 200, Denton, TX 76210-3403 | 2007-06-06 |
| 1487251997 | Umms Ambulatory Care LLC | Clinic/Center | 8 Denton Plz, Denton, MD 21629-9501 | 2020-10-07 |
| 1770048704 | Primary Health Physicians, Pllc | Clinic/Center | 2310 W University Dr, Denton, TX 76201-1650 | 2019-02-04 |
| 1568990992 | Fastpass Ucc, Pllc | Clinic/Center | 3111 Teasley Lane, Suite 120, Denton, TX 76205-8024 | 2017-05-30 |
| 1548510597 | Nt Urgent Care, Pllc | Clinic/Center | 2520 W University Dr, Suite 1154, Denton, TX 76201 | 2012-09-18 |
| 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.