Organization Active NPI

Mdics at Union Cecil County, LLC

  • Hospitalist Physician
  • Elkton, MD
National Provider Identifier
1063801520
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
MDICS AT UNION CECIL COUNTY, LLC
Practice address
106 Bow St
Elkton, MD 21921-5544
Phone
(443) 949-0814
Fax
(443) 949-0825
NPI assigned
Jan 21, 2015
Organization subpart
Yes
Parent organization
MARYLAND INPATIENT CARE SPECIALISTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Dr. Douglas Mitchell
Title
Medical Director
Phone
(443) 949-0814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

106 Bow St
Elkton, MD 21921-5544

Mailing address

6934 Aviation Blvd Ste B
Glen Burnie, MD 21061-2593
Phone (443) 949-0814

National Provider Directory

National Provider Directory
Part of
Adfinitas Health LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1063801520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 AVIATION BLVD STE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612593",
            "telephone_number": "443-949-0814",
            "fax_number": "443-949-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BOW ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215544",
            "telephone_number": "443-949-0814",
            "fax_number": "443-949-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDICS AT UNION CECIL COUNTY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYLAND INPATIENT CARE SPECIALISTS, LLC",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-949-0814",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "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 Jan 21, 2015; 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.