NPIMap

Organization Active NPI

Correctional Medical Services

  • Prison Health Clinic/Center
  • Jessup, MD
National Provider Identifier
1093946709
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
License
D0058537 Issued in MD
Legal business name
CORRECTIONAL MEDICAL SERVICES
Practice address
7943 Brock Bridge Rd
Jessup, MD 20794-9704
Phone
(410) 379-3873
NPI assigned
Jul 29, 2009
Last updated
Jul 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Dr. Asresahegn Getachew, M.D.
Title
Statewide Medical Director
Phone
(410) 872-8590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X D0058537 MD Primary

Addresses

Primary practice location

7943 Brock Bridge Rd
Jessup, MD 20794-9704

Mailing address

7816 Foxfarm LN
Glen Burnie, MD 21061-6321
Phone (443) 749-4843

National Provider Directory

National Provider Directory
Tax ID family
Correctional Medical Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

7943 Brock Bridge Rd
Jessup, MD 20794
Phone (410) 379-3873

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1093946709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7816 FOXFARM LN",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616321",
            "telephone_number": "443-749-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7943 BROCK BRIDGE RD",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207949704",
            "telephone_number": "410-379-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIONAL MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "GETACHEW",
        "authorized_official_first_name": "ASRESAHEGN",
        "authorized_official_title_or_position": "STATEWIDE MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-872-8590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "MD",
            "license": "D0058537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jessup, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.