Umms Ambulatory Care LLC
Organization Active NPI Urgent Care Clinic/Center · Phoenix, MD
NPI 1346847845 · NPPES record last updated Nov 20, 2020
Key facts
- NPI
- 1346847845
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- UMMS AMBULATORY CARE LLC
- Practice address
- 14237 Jarrettsville Pike
Phoenix, MD 21131-1403 - Phone
- (410) 650-4735
- Fax
- (410) 650-4734
- NPI assigned
- Oct 7, 2020
- Organization subpart
- No
Authorized official
- Name
- Scott Conover
- Title
- Senior Vice President, Clinical Int
- Phone
- (410) 337-1500
Other NPIs on the same Medicare enrollment 12
Practitioners 8
-
Robert William Desverreaux, M.D.,PH.D.
-
Rebecca Gum, CRNP
-
Henry Eromosele Inegbenosun, DNP, CRNP, FNP-BC
-
Sara O'Brien, MSN, FNP-C, TCRN
-
Kelsey Rosen, AGACNP-BC
-
Tammy L Rotondo, APNP
-
Jan Ryan Viloria, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210113000074 | MD | Part B Supplier - Clinic/Group Practice | 8426461427 |
Receives reassigned benefits from 112 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Forest Hill, MD; Pasadena, MD; La Plata, MD; Glen Burnie, MD; Fallston, MD; Easton, MD; Denton, MD; Aberdeen, MD… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
14237 Jarrettsville Pike
Phoenix, MD 21131-1403
Mailing address
900 Elkridge Landing Rd FL 2
Linthicum, MD 21090-2924
Phone (443) 462-5010
Other names
- University of Maryland Urgent Care-Phoenix
Other providers in Phoenix, MD
- Pamela Ann Spring
- Statcare Group LLC
- Kimberly Tawney
- Sharon Aletta Thomas-Parker
- Penny L Timmons-Lemmerman
- University of Maryland St. Joseph Medical Group, LLC
- Lisa Ann Viscuso
- Walgreen Co
- Walgreen Co.
- Thomas Walsh
All providers in Phoenix, MD · Urgent Care Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.