Active NPI
Christine Fleury, PA
- Physician Assistant
- Crofton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 009124-1
- Practice address
- 2209 Defense Hwy
Suite C
Crofton, MD 21114-2403 - Phone
- (443) 332-1533
- Fax
- (443) 332-4271
- NPI assigned
- Oct 4, 2006
- Last updated
- Apr 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 009124-1 | NY | Primary |
Addresses
Primary practice location
2209 Defense Hwy
Suite C
Crofton, MD 21114-2403
Mailing address
2209 Defense Hwy
Suite C
Crofton, MD 21114-2403
Phone (443) 332-1533
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02420313 | Medicaid | NY | |
| 000403511005 | Other | NY | BSNENY |
| 070418000045 | Other | NY | FIDELIS |
| 4151248 | Other | NY | MVP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10416 Campus Way S
Expresscare of Largo
Largo, MD 20774-1390
Phone (301) 316-9620
1307 Merritt Blvd
Dundalk, MD 21222-2109
Phone (410) 288-2121
1354 Eastern Blvd
Expresscare of Essex
Essex, MD 21221-3423
Phone (443) 231-5203
1505 E Churchville Rd
Bel Air, MD 21014-4742
5400 Ritchie Hwy
Brooklyn, MD 21225-3443
Phone (443) 457-6694
6000 Laurel Bowie Rd
Bowie, MD 20715-4000
Phone (301) 383-0330
7566 Ridge Rd
Hanover, MD 21076-1373
Phone (410) 904-5910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009124 | NY | MD | Mental Health Counselor |
| 9124 | NY | MD | Clinical Psychologist |
| 009124-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries LLC | Current | Accepting new patients | |
| Cedar Health Ventures, LLC | Past | Accepting new patients | |
| Harcart Health Holdings LLC | Past | Accepting new patients | |
| Provident Emergency Medicine Associates, PC | Past | Accepting new patients |
Locations
1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970
6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330
504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ExpressCare of Mount Airy
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
-
dba ExpressCare of Middle River
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1871031872
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1649089418
-
dba Righttime Care Centers
- Emergency Medicine Physician
- Columbia, MD
- NPI 1114931417
-
dba Headfirst Sports Injury and Concussion Care
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Annapolis, MD
- NPI 1679977755
-
- Emergency Medicine Physician
- Schenectady, NY
- NPI 1750310645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1063507036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 DEFENSE HWY",
"address_2": "SUITE C",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142403",
"telephone_number": "443-332-1533",
"fax_number": "443-332-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 DEFENSE HWY",
"address_2": "SUITE C",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142403",
"telephone_number": "443-332-1533",
"fax_number": "443-332-4271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEURY",
"first_name": "CHRISTINE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "009124-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02420313",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000403511005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "070418000045",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "4151248",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.