Atlantic General Hospital Corp
Organization Active NPI Radiology Clinic/Center · Ocean City, MD
NPI 1043756232 · NPPES record last updated Nov 17, 2021
Key facts
- NPI
- 1043756232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- ATLANTIC GENERAL HOSPITAL CORP
- 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
- Organization subpart
- No
Authorized official
- Name
- Cheryl Nottingham
- Title
- VP Finance/Cfo
- Phone
- (410) 641-9602
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 34
Practitioners 56
-
Deepa Abhilash, CRNP
-
Lisa H Bayles, CRNP
-
Halim Charbel, MD
-
David Y Chung, M.D.
-
Robert Davis, MD
-
Carrie Ann Dawes, APN
-
Rene L Desmarais, M.D.
-
Alison L. Diesel, PA-C
-
Munna Garg, MD
-
Emily Goodchild, LCSW-C
-
Daniel Hakeem, PA-C
-
Christina Hargis, DNP, CRNP, FNP-BC
-
Charles B Hickok, MD
-
Gerard Joseph Hogan, M.D.
-
Scott Louis Itzkowitz, D.O.
-
Manoj Jain, MD
-
Joseph C Lin, M.D.
-
Karen T Montella, P.A.
-
Gena Denice Nance, CRNP
-
Barbara Jayne Nazelrod, CRNP
-
Eric K. Ofori, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Atlantic General Hospital Corp
Locations
9733 Healthway Dr
Ste 101
Berlin, MD 21811
Phone (410) 629-6888
10231 Old Ocean City Blvd
Ste 104
Berlin, MD 21811
Phone (410) 629-6863
11107 Racetrack Rd
Ocean Pnes, MD 21811
Phone (410) 208-9761
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes | ||
| 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
- Atlantic General Health Systems WOC Imaging Center
Other providers in Ocean City, MD
- Akj Dental DDS LLC
- William Robert Allen
- David Wayne Apple
- Ati Holding LLC
- Ati Holding LLC
- Atlantic General Hospital Corp.
- Atlantic General Hospital Corporation
- Atlantic General Hospital Corporation
- Atlantic General Hospital Corporation
- Atlantic General Hospital Corporation
All providers in Ocean City, MD · Radiology Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.