NPIMap

Organization Active NPI

Capricorn Health LLC

Doing business as Capricorn Health

  • Addiction Medicine (Family Medicine) Physician
  • Chestertown, MD
National Provider Identifier
1306437280
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
CAPRICORN HEALTH LLC
Doing business as
Capricorn Health
Practice address
932 Washington Ave Unit E
Chestertown, MD 21620-3324
Phone
(443) 666-3429
NPI assigned
Feb 2, 2021
Last updated
Feb 2, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CAPRICORN HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Christopher Gelmann, MD
Title
Managing Member
Phone
(443) 553-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

932 Washington Ave Unit E
Chestertown, MD 21620-3324

Mailing address

101 Chesapeake Blvd Ste B
Elkton, MD 21921-6607

Other names 1

  • Capricorn Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capricorn Health LLC7 organizations share this tax ID, including this one
Part of
Capricorn Health LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1306437280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHESAPEAKE BLVD STE B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 WASHINGTON AVE UNIT E",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216203324",
            "telephone_number": "443-666-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPRICORN HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPRICORN HEALTH LLC",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "GELMANN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "443-553-0056",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capricorn Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chestertown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.