NPIMap

Organization Active NPI

Union Hospital of Cecil County

  • Internal Medicine Physician
  • Elkton, MD
National Provider Identifier
1124067848
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UNION HOSPITAL OF CECIL COUNTY
Practice address
106 Bow St
Elkton, MD 21921-5544
Phone
(410) 398-4510
Fax
(410) 398-5160
NPI assigned
Jun 6, 2006
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Judy Riesen
Title
Director of Revenue Cycle
Phone
(410) 398-4000

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Gastroenterology Physician 207RG0100X
Interventional Cardiology Physician 207RI0011X
Pulmonary Disease Physician 207RP1001X
Rheumatology Physician 207RR0500X
Medical Oncology Physician 207RX0202X
Obstetrics & Gynecology Physician 207V00000X
Otolaryngology Physician 207Y00000X
Surgery Physician 208600000X
Urology Physician 208800000X
Primary Podiatric Medicine Podiatrist 213EP1101X
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X

Addresses

Primary practice location

106 Bow St
Elkton, MD 21921-5544

Mailing address

PO Box 7356
Lancaster, PA 17604-7356
Phone (410) 398-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE, PA, GA, TX, FL, CO, CA, DC, IL, NY, VA, MA13 enrollments

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
O20040121001109 MD Part B Supplier - Clinic/Group Practice 6901719822 Receives reassigned benefits from 546 practitioners
22 other NPIs on this enrollment
Practice locations: Rising Sun, MD; Perryville, MD; North East, MD; Elkton, MD
O20090923000623 DE Part B Supplier - Clinic/Group Practice 6901719822 Receives reassigned benefits from 15 practitioners
Practice locations: Wilmington, DE; Newark, DE; New Castle, DE; Bear, DE; Middletown, DE
O20130613000015 PA Part B Supplier - Clinic/Group Practice 6901719822 Receives reassigned benefits from 17 practitioners
Practice locations: Yeadon, PA; Wynnewood, PA; Philadelphia, PA; Millersville, PA; Avondale, PA; Bryn Mawr, PA; Chadds Ford, PA; Dresher, PA…
O20130625000247 GA Part B Supplier - Clinic/Group Practice 6901719822 Receives reassigned benefits from 2 practitioners
Practice locations: Altanta, GA; Atlanta, GA; Lake Park, GA
O20130903000392 TX Part B Supplier - Clinic/Group Practice 6901719822 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX
O20180504000420 FL Part B Supplier - Clinic/Group Practice 6901719822 Receives reassigned benefits from 1 practitioner
Practice locations: Seminole, FL
O20180918002148 CO Part B Supplier - Clinic/Group Practice 6901719822 Receives reassigned benefits from 1 practitioner
Practice locations: Erie, CO
O20180926000672 CA Part B Supplier - Clinic/Group Practice 6901719822 Receives reassigned benefits from 1 practitioner
Practice locations: Alameda, CA
O20190412001253 DC Part B Supplier - Clinic/Group Practice 6901719822 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD
O20190807004129 IL Part B Supplier - Clinic/Group Practice 6901719822 Receives reassigned benefits from 1 practitioner
Practice locations: Highland Park, IL
O20230911003379 NY Part B Supplier - Clinic/Group Practice 6901719822 Practice locations: New York, NY
O20250324002895 VA Part B Supplier - Clinic/Group Practice 6901719822 Receives reassigned benefits from 1 practitioner
Practice locations: Midlothian, VA
O20250825000602 MA Part B Supplier - Clinic/Group Practice 6901719822 Receives reassigned benefits from 2 practitioners
Practice locations: Boston, MA; Cambridge, MA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 22

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

View all 22

National Provider Directory

National Provider Directory

Member of 1

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

Locations

39000 Bob Hope Dr
Ste K302
Rancho Mirage, CA 92270
Phone (760) 773-0700

118 Sandhill Dr
Ste 104
Middletown, DE 19709
Phone (302) 261-8200

124 Sleepy Hollow Dr
Ste 201
Middletown, DE 19709
Phone (302) 449-3150

3330 Fairchild Gardens Ave
Unit 31322
Palm Beach Gardens, FL 33420
Phone (970) 749-2577

111 W High St
Ste 312
Elkton, MD 21921
Phone (410) 620-4850

123 Singerly Ave
Elkton, MD 21921
Phone (410) 392-2686

137 W High St
Elkton, MD 21921
Phone (410) 392-7027

137 W High St
Ste 213
Elkton, MD 21921

137 W High St
Ste A
Elkton, MD 21921

137 W High St
Ste B
Elkton, MD 21921

207 North St
Ste A
Elkton, MD 21921

119 N Main St
Galena, MD 21635
Phone (410) 398-2436

322 E Cecil Ave
Ste 1
North East, MD 21901
Phone (410) 287-5570

4853 Pulaski Hwy
Perryville, MD 21903

4863 Pulaski Hwy
Ste 100
Perryville, MD 21903
Phone (410) 378-2759

Practitioners & affiliated clinicians

Practitioners 574

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.

View all 574

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1124067848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7356",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176047356",
            "telephone_number": "410-398-4000",
            "fax_number": "410-392-9289"
        },
        {
            "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": "410-398-4510",
            "fax_number": "410-398-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HOSPITAL OF CECIL COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "RIESEN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "410-398-4000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 1, 2026; 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.