NPIMap

Organization Active NPI

Umms Ambulatory Care LLC

Doing business as University of Maryland Urgent Care-Easton

  • Urgent Care Clinic/Center
  • Easton, MD
National Provider Identifier
1114524626
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
UMMS AMBULATORY CARE LLC
Doing business as
University of Maryland Urgent Care-Easton
Practice address
28522 Marlboro Ave Ste C
Easton, MD 21601-2792
Phone
(443) 746-0086
Fax
(443) 746-0669
NPI assigned
Oct 7, 2020
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Scott Conover
Title
Senior Vice President, Clinical Int
Phone
(410) 337-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

28522 Marlboro Ave Ste C
Easton, MD 21601-2792

Mailing address

900 Elkridge Landing Rd FL 2
Linthicum, MD 21090-2924
Phone (443) 462-5010

Other names 1

  • University of Maryland Urgent Care-Easton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210113000074 MD Part B Supplier - Clinic/Group Practice 8426461427 Receives reassigned benefits from 112 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Forest Hill, MD; Pasadena, MD; La Plata, MD; Glen Burnie, MD; Fallston, MD; Easton, MD; Denton, MD; Aberdeen, MD…

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

Practitioners & affiliated clinicians

Practitioners 12

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": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1114524626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ELKRIDGE LANDING RD FL 2",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902924",
            "telephone_number": "443-462-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28522 MARLBORO AVE STE C",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012792",
            "telephone_number": "443-746-0086",
            "fax_number": "443-746-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMMS AMBULATORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, CLINICAL INT",
        "authorized_official_telephone_number": "410-337-1500"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Maryland Urgent Care-Easton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.