NPIMap

Organization Active NPI

Medstar Urgent Care LLC

  • Urgent Care Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1184058232
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDSTAR URGENT CARE LLC
Practice address
12111 Darnestown Rd
Gaithersburg, MD 20878-2205
Phone
(301) 926-3020
Fax
(301) 926-3021
NPI assigned
Aug 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Deborah Kuchka-Craig
Title
Corporate Vice President
Phone
(410) 772-6827

Specialties & licenses 1

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

Addresses

Primary practice location

12111 Darnestown Rd
Gaithersburg, MD 20878-2205

Mailing address

12111 Darnestown Rd
Gaithersburg, MD 20878-2205
Phone (301) 926-3020

Other names 1

  • MEDSTAR PROMPTCARE GAITHERSBURG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medstar Urgent Care55 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1184058232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12111 DARNESTOWN RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782205",
            "telephone_number": "301-926-3020",
            "fax_number": "301-926-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12111 DARNESTOWN RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782205",
            "telephone_number": "301-926-3020",
            "fax_number": "301-926-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "KUCHKA-CRAIG",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CORPORATE VICE PRESIDENT",
        "authorized_official_telephone_number": "410-772-6827"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDSTAR PROMPTCARE GAITHERSBURG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.