Maryland Expresscare LLC
Organization Active NPI Land Ambulance · Baltimore, MD
NPI 1134835911 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1134835911
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- MARYLAND EXPRESSCARE LLC
- Practice address
- 22 S Greene St RM PGG 000
Baltimore, MD 21201-1544 - Phone
- (410) 328-6732
- NPI assigned
- Jan 25, 2023
- Organization subpart
- No
Authorized official
- Name
- Joseph Hofmann
- Title
- Senior Vice President & Cfo
- Phone
- (410) 328-1501
Owned or controlled facilities with NPI records 14
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 3
Member of 1
Practitioners 165
-
Curtis N Adams, MD
-
Obinna C. Adogu, CRNA
-
Birtukan Ahmed, CRNA
-
Jennifer Slade Arcila, CRNA
-
Bonjo M. Batoon, CRNA
-
Stephanie Lynn Boncich, MSN, CRNA
-
George Bragdon, CRNA, DNP
-
Michael Paul Broussard, CRNA
-
Sarah Brown, C.R.N.A.
-
Mary K. Browning, CRNA
-
Erica Lynn Burns, CRNA
-
Lee Gordon Carroll, CRNA
-
Ryan Thomas Carter, CRNA
-
Marisa Conry, CRNA
-
Sarah Lancos Cooke, MSN, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD
All facility ownership & control disclosures 11
| Facility | Type | Role | Since |
|---|---|---|---|
| Shore Health System Inc |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2006 |
| University of Maryland Baltimore Washington Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2000 |
| University of Maryland Shore Medical Center at Chestertown |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2022 |
| University of Maryland Medical Center Midtown Campus |
Hospital | 5% Or Greater Direct Ownership Interest | Feb 1, 2014 |
| University of Maryland Rehabilitation and Orthopaedic Institute |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 9, 2008 Jan 9, 2008 |
| University of Maryland Capital Region Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest | Sep 1, 2017 |
| Civista Medical Center Inc |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) Other |
Jun 27, 2011 Jun 27, 2011 |
| Mt Washington Physicians Group |
Hospital | 5% Or Greater Direct Ownership Interest | Jul 1, 2006 |
| University of Maryland St Joseph Medical Center |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) Other |
Nov 1, 2012 Nov 1, 2012 |
| Rehabilitation Hospital of Bowie |
Hospital | 5% Or Greater Indirect Ownership Interest (50%) | Jul 1, 2023 |
| University of Maryland Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 3, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230510000101 | MD | Part B Supplier - Ambulance Service Supplier | 7113914771 | Practice locations: Baltimore, MD |
| O20240531002222 | MD | Part B Supplier - Ambulance Service Supplier | 8729420088 | Practice locations: Aberdeen, MD; Baltimore, MD; Easton, MD |
National Provider Directory
- Tax ID family
- Maryland Expresscare LLC
Locations
660 McHenry Rd
Fl 1
Aberdeen, MD 21001
Phone (443) 843-8147
29 S Greene St
Fl 5
Baltimore, MD 21201
Phone (410) 328-1380
22 S Greene St
Rm Pgg
Baltimore, MD 21201
Phone (410) 328-6732
701 W Pratt St
Baltimore, MD 21201
Phone (410) 328-5881
22 S Greene St
Rm GJ7
Baltimore, MD 21201
701 W Pratt St
Ste 564
Baltimore, MD 21201
Phone (410) 328-7037
600 Light St
Baltimore, MD 21230
Phone (410) 659-0900
250 W Pratt St
Fl 24
Baltimore, MD 21201
22 S Greene St
Ofc
Baltimore, MD 21201
Phone (410) 328-2399
219 S Washington St
Fl 2
Easton, MD 21601
Phone (443) 835-6860
7601 Osler Dr
Rm 102
Towson, MD 21204
Phone (410) 427-5571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
22 S Greene St RM PGG 000
Baltimore, MD 21201-1544
Mailing address
920 Elkridge Landing Rd
Linthicum, MD 21090-2917
Other practice location 1
219 S Washington St
Easton, MD 21601-2913
Phone (443) 835-6860
Other practice location 2
660 McHenry Rd
Aberdeen, MD 21001-2682
Phone (443) 843-8147
Other names
- Maryland ExpressCare
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.