Organization Active NPI

Young Men's Christian Association of the Chesapeake, Inc.

  • Health Educator
  • Easton, MD
National Provider Identifier
1114477981
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE CHESAPEAKE, INC.
Practice address
111 E Dover St Ste 1
Easton, MD 21601-3057
Phone
(410) 770-3890
Fax
(410) 770-3893
NPI assigned
Oct 5, 2016
Last updated
Oct 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Mr. Robert London Gill
Title
Chief Executive Officer
Phone
(410) 770-3890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

111 E Dover St Ste 1
Easton, MD 21601-3057

Mailing address

111 E Dover St Ste 1
Easton, MD 21601-3057
Phone (410) 770-3890

National Provider Directory

National Provider Directory

Locations

111 E Dover St
Ste 1
Easton, MD 21601
Phone (410) 770-3890

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1114477981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E DOVER ST STE 1",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013057",
            "telephone_number": "410-770-3890",
            "fax_number": "410-770-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E DOVER ST STE 1",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013057",
            "telephone_number": "410-770-3890",
            "fax_number": "410-770-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE CHESAPEAKE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LONDON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "410-770-3890",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.