NPIMap

Organization Active NPI

Seton Medical Group, Inc

  • Internal Medicine Physician
  • Columbia, MD
National Provider Identifier
1144409194
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SETON MEDICAL GROUP, INC
Practice address
6740 Alexander Bell Dr Ste 300
Columbia, MD 21046-2248
Phone
(410) 564-0000
Fax
(410) 566-4003
NPI assigned
Oct 26, 2007
Last updated
Nov 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ASCENSION HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
William B Higginbotham
Title
President/Ceo
Phone
(667) 234-3162

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6740 Alexander Bell Dr Ste 300
Columbia, MD 21046-2248

Mailing address

6740 Alexander Bell Dr Ste 300
Columbia, MD 21046-2248
Phone (410) 564-0000

Other identifiers 1

IdentifierTypeStateIssuer
8653OtherMDCAREFIRST BCBS

Other names 1

  • Ascension Saint Agnes Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000384 MD Part B Supplier - Clinic/Group Practice 7416037924 Receives reassigned benefits from 112 practitioners
Practice locations: Elkridge, MD; Marriottsville, MD; Ellicott City, MD; Columbia, MD; Catonsville, MD; Baltimore, MD

National Provider Directory

National Provider Directory
Part of
Ascension Health

Member of 1

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

Locations

716 Maiden Choice Ln
Ste 101
Baltimore, MD 21228
Phone (410) 474-4080

3421 Benson Ave
Ste 230
Baltimore, MD 21227
Phone (410) 368-8460

1001 Pine Heights Ave
Ste 203
Baltimore, MD 21229
Phone (410) 644-1454

3449 Wilkens Ave
Ste 303
Baltimore, MD 21229

6501 Baltimore National Pike
Catonsville, MD 21228
Phone (410) 740-0549

8325 Guilford Rd
Ste E
Columbia, MD 21046
Phone (410) 564-0000

8945 Guilford Rd
Ste 100
Columbia, MD 21046
Phone (410) 997-8444

2400 Longstone Ln
Ste 106
Marriottsville, MD 21104
Phone (410) 480-1895

Practitioners & affiliated clinicians

Practitioners 113

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 113

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1144409194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 ALEXANDER BELL DR STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462248",
            "telephone_number": "410-564-0000",
            "fax_number": "410-566-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 ALEXANDER BELL DR STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462248",
            "telephone_number": "410-564-0000",
            "fax_number": "410-566-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETON MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION HEALTH",
        "enumeration_date": "2007-10-26",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "HIGGINBOTHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "667-234-3162"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "8653",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Saint Agnes",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.