NPIMap

Organization Active NPI

Choices, Inc

Doing business as Maryland Choices, LLC

  • Exclusive Provider Organization
  • Easton, MD
National Provider Identifier
1376949263
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
CHOICES, INC
Doing business as
Maryland Choices, LLC
Practice address
300 Talbot St
Easton, MD 21601-3525
Phone
(877) 565-5392
Fax
(866) 397-3531
NPI assigned
Nov 5, 2014
Last updated
Nov 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Mr. Michael Goldberg, MS
Title
Ceo
Phone
(317) 726-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

300 Talbot St
Easton, MD 21601-3525

Mailing address

4701 N Keystone Ave
Suite 150
Indianapolis, IN 46205-1554
Phone (317) 726-2121

Other names 1

  • Maryland Choices, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Choices Coordinated Care Solutions Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

4701 N Keystone Ave
Ste 150
Indianapolis, IN 46205
Phone (317) 475-9294

300 Talbot St
Easton, MD 21601

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1376949263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N KEYSTONE AVE",
            "address_2": "SUITE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051554",
            "telephone_number": "317-726-2121",
            "fax_number": "317-726-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TALBOT ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013525",
            "telephone_number": "877-565-5392",
            "fax_number": "866-397-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-726-2121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Choices, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.