NPIMap

Organization Active NPI

Union Hospital of Cecil County

  • Speech-Language Pathologist
  • Elkton, MD
National Provider Identifier
1033865993
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
UNION HOSPITAL OF CECIL COUNTY
Practice address
111 W High St Ste 303
Elkton, MD 21921-8617
Phone
(410) 392-2380
Fax
(410) 392-3234
NPI assigned
Mar 1, 2022
Last updated
Apr 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Judy Riesen
Title
Corporate Director of Revenue Cycle
Phone
(410) 398-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

111 W High St Ste 303
Elkton, MD 21921-8617

Mailing address

PO Box 7356
Lancaster, PA 17604-7356
Phone (410) 398-3868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121001109 MD Part B Supplier - Clinic/Group Practice 6901719822 Receives reassigned benefits from 546 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rising Sun, MD; Perryville, MD; North East, MD; Elkton, MD

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory
Tax ID family
Union Hosp of Cecil Cnty38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Locations

111 W High St
Ste 204
Elkton, MD 21921
Phone (410) 392-3007

111 W High St
Ste 303
Elkton, MD 21921
Phone (410) 392-2380

4863 Pulaski Hwy
Ste 300
Perryville, MD 21903
Phone (410) 642-2289

Practitioners & affiliated clinicians

Practitioners 73

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.

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1033865993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7356",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176047356",
            "telephone_number": "410-398-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W HIGH ST STE 303",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219218617",
            "telephone_number": "410-392-2380",
            "fax_number": "410-392-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HOSPITAL OF CECIL COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "RIESEN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "410-398-4000"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.