NPIMap

Organization Active NPI

Atlantic General Hospital Corp

Doing business as Atlantic General Health Systems WOC Imaging Center

  • Radiology Clinic/Center
  • Ocean City, MD
National Provider Identifier
1043756232
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ATLANTIC GENERAL HOSPITAL CORP
Doing business as
Atlantic General Health Systems WOC Imaging Center
Practice address
12308 Ocean Gtwy Ste 5
Ocean City, MD 21842-9341
Phone
(443) 728-1090
Fax
(443) 728-1091
NPI assigned
Jan 11, 2017
Last updated
Nov 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Cheryl Nottingham
Title
VP Finance/Cfo
Phone
(410) 641-9602

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Mammography Clinic/Center 261QR0206X

Addresses

Primary practice location

12308 Ocean Gtwy Ste 5
Ocean City, MD 21842-9341

Mailing address

10026 Old Ocean City Blvd
Building #1
Berlin, MD 21811-1288
Phone (410) 629-6007

Other names 1

  • Atlantic General Health Systems WOC Imaging Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040415000939 MD Part B Supplier - Clinic/Group Practice 2365437837 Receives reassigned benefits from 140 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Berlin, MD; Snow Hill, MD; Pocomoke City, MD; Ocean City, MD

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Atlantic General Hospital35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600

9733 Healthway Dr
Ste 101
Berlin, MD 21811
Phone (410) 629-6888

Practitioners & affiliated clinicians

Practitioners 50

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 50

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1043756232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10026 OLD OCEAN CITY BLVD",
            "address_2": "BUILDING #1",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111288",
            "telephone_number": "410-629-6007",
            "fax_number": "410-641-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12308 OCEAN GTWY STE 5",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429341",
            "telephone_number": "443-728-1090",
            "fax_number": "443-728-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC GENERAL HOSPITAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "NOTTINGHAM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "VP FINANCE/CFO",
        "authorized_official_telephone_number": "410-641-9602"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic General Health Systems WOC Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlantic General Health Systems WOC Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocean City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.