Active NPI
Seton Medical Group, Inc
- Family Medicine Physician
- Baltimore, MD
National Provider Identifier
1255130704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SETON MEDICAL GROUP, INC
- Practice address
- 900 Caton Ave
Baltimore, MD 21229-5201 - Phone
- (667) 234-2626
- NPI assigned
- Mar 10, 2025
- Organization subpart
- Yes
- Parent organization
- ASCENSION HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William B Higgingbotham
- Title
- President/Ceo
- Phone
- (667) 234-3162
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X |
Addresses
Primary practice location
900 Caton Ave
Baltimore, MD 21229-5201
Mailing address
900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-2626
Other names 1
- Seton Medical Group - Mobile Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Ascension Saint Agnes OBGYN Columbia
- Part of
- Ascension Health
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762387200000",
"number": "1255130704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CATON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295201",
"telephone_number": "667-234-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CATON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295201",
"telephone_number": "667-234-2626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SETON MEDICAL GROUP, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASCENSION HEALTH",
"enumeration_date": "2025-03-10",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A",
"authorized_official_last_name": "HIGGINGBOTHAM",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "667-234-3162",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Seton Medical Group - Mobile Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.