NPIMap

Organization Active NPI

Wisecare, LLC

Doing business as WiseCare Urgent Care

  • Urgent Care Clinic/Center
  • Severna Park, MD
National Provider Identifier
1255868519
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
D0067662 Issued in MD
Legal business name
WISECARE, LLC
Doing business as
WiseCare Urgent Care
Practice address
485 Ritchie Hwy Ste 102
Severna Park, MD 21146-2918
Phone
(410) 255-7900
Fax
(410) 255-7300
NPI assigned
May 17, 2017
Last updated
May 17, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
WISECARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Authorized official

Name
Beth Eckman, CBCS, CEHRS
Title
Billing Manager
Phone
(410) 255-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X D0067662 MD Primary

Addresses

Primary practice location

485 Ritchie Hwy Ste 102
Severna Park, MD 21146-2918

Mailing address

33 Magothy Beach Rd Ste 102
Pasadena, MD 21122-4465
Phone (410) 255-7900

Other names 1

  • WiseCare Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141016000740 MD Part B Supplier - Clinic/Group Practice 9638390651 Receives reassigned benefits from 25 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pasadena, MD; Millersville, MD; Severna Park, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Wisecare, LLC

    dba WiseCare Express Urgent Care Center

    • Urgent Care Clinic/Center
    • Pasadena, MD
    • NPI 1053728634

    O20141016000740

    Same enrollment

National Provider Directory

National Provider Directory
Part of
Wisecare LLC

Locations

33 Magothy Beach Rd
#102103
Pasadena, MD 21122

33 Magothy Beach Rd
Ste 102
Pasadena, MD 21122
Phone (410) 255-7900

485 Ritchie Hwy
Severna Park, MD 21146
Phone (410) 255-7900

485 Ritchie Hwy
Ste 102
Severna Park, MD 21146
Phone (410) 255-7900

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1255868519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MAGOTHY BEACH RD STE 102",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224465",
            "telephone_number": "410-255-7900",
            "fax_number": "410-255-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 RITCHIE HWY STE 102",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462918",
            "telephone_number": "410-255-7900",
            "fax_number": "410-255-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISECARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WISECARE, LLC",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "ECKMAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-255-7900",
        "authorized_official_credential": "CBCS, CEHRS"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": "D0067662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WiseCare Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.