Organization Active NPI

Clinton Medical and Urgent Care LLC

  • Nurse Practitioner
  • Clinton, MD
National Provider Identifier
1013485358
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CLINTON MEDICAL AND URGENT CARE LLC
Practice address
9009 Woodyard Rd Ste 101
Clinton, MD 20735-4268
Phone
(301) 877-7700
Fax
(301) 877-7701
NPI assigned
Nov 5, 2018
Last updated
Nov 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clover Springer, CRNPNPI 1962802272
Title
Provider
Phone
(301) 877-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

9009 Woodyard Rd Ste 101
Clinton, MD 20735-4268

Mailing address

9009 Woodyard Rd Ste 101
Clinton, MD 20735-4268
Phone (301) 877-7700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1013485358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 WOODYARD RD STE 101",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354268",
            "telephone_number": "301-877-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 WOODYARD RD STE 101",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354268",
            "telephone_number": "301-877-7700",
            "fax_number": "301-877-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON MEDICAL AND URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "CLOVER",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "301-877-7700",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.