Medgen Urgent Care Maryland LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDGEN URGENT CARE MARYLAND LLC

Practice address

7307 Macarthur Blvd
Suite 200
Bethesda, MD 20816-1014

Phone

(301) 320-2100

Fax

(844) 213-1098

NPI assigned

Feb 12, 2015

Last updated

Apr 10, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDGEN URGENT CARE LLCAs reported in NPPES

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

Authorized official

Name

Clelia Walters

Title

Part Owner

Phone

(202) 258-1627

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kristen A Buerstatte, PA-C

  • Physician Assistant
  • Quincy, IL
  • NPI 1841535309
  NPD (past)

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1063803005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 916",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221010916",
            "telephone_number": "202-258-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 MACARTHUR BLVD",
            "address_2": "SUITE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208161014",
            "telephone_number": "301-320-2100",
            "fax_number": "844-213-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDGEN URGENT CARE MARYLAND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDGEN URGENT CARE LLC",
        "enumeration_date": "2015-02-12",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "CLELIA",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "202-258-1627"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nessim M Meawad, MR
• Chet Mecham, M.D.
• Ann Mecherikunnel, M.D
• Medbalance, LLC
• Flavia Medeiros Saavedra de Paula, DDS,PHD
• Medical Faculty Associates Inc
• Medical Faculty Associates Inc
• Keisha Medina Diaz
• Justo Javier Medina, MD
• Kenya V Medina

• Urgent Care Clinic/Center in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Urgent Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.