Statcare Group III, PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

H0062737 Issued in MD

Legal business name

STATCARE GROUP III, PC

Doing business as

ChoiceOne Urgent Care III

Practice address

28522-C Marlboro Avenue
Easton, MD 21601

Phone

(443) 746-0086

Fax

(443) 746-0669

NPI assigned

Jun 8, 2016

Last updated

Jun 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott T Burger, D.O.

Title

Chief Medical Officer

Phone

(410) 296-7190

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ChoiceOne Urgent Care III Doing business as

Locations

Practitioners 1

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.

• Stephanie Robinson, CRNP

  • Family Nurse Practitioner
  • Chester, MD
  • NPI 1396480760
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497571200000",
    "number": "1194174391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE",
            "address_2": "SUITE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935300",
            "telephone_number": "410-296-7190",
            "fax_number": "443-991-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28522-C MARLBORO AVENUE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "21601",
            "telephone_number": "443-746-0086",
            "fax_number": "443-746-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATCARE GROUP III, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2017-06-16",
        "status": "A",
        "authorized_official_last_name": "BURGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "410-296-7190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "MD",
            "license": "H0062737",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": "H0062737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "H0062737",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChoiceOne Urgent Care III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily M Soulias, SLP
• St Paul Place Specialists, Inc.
• Tracie Samantha Stafford, RPH
• Morgan Marie Stanley, LMSW
• Edward Kenly Startt, PT
• Margaret Weaver Staub
• Thomas E Stauch, MD
• Amber Marie Steele, DNP
• Suzanne Louise Steele, PA-C
• Marie Myer Steimel, LCPC

• Urgent Care Clinic/Center in Easton, MD
• Providers in Easton, MD by specialty
• Urgent Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2017; 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.