Organization Active NPI

Chesapeake Physicians Group

Doing business as Chesapeake ERgent Care

  • General Practice Physician
  • Gambrills, MD
National Provider Identifier
1487119046
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CHESAPEAKE PHYSICIANS GROUP
Doing business as
Chesapeake ERgent Care
Practice address
1071 MD RT 3 N
Gambrills, MD 21054-1784
Phone
(410) 721-2333
NPI assigned
Feb 7, 2019
Last updated
Mar 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
DRS ERGENT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Ron ElfenbeinNPI 1710934294
Title
Ceo/Medical Director
Phone
(410) 507-9698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1071 MD RT 3 N
Gambrills, MD 21054-1784

Mailing address

1071 MD RT 3 N
Gambrills, MD 21054-1784
Phone (410) 721-2333

Other names 1

  • Chesapeake ERgent Care Doing business as

National Provider Directory

National Provider Directory
Part of
DRS Ergent Care LLC

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 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": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1487119046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 MD RT 3 N",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541784",
            "telephone_number": "410-721-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 MD RT 3 N",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541784",
            "telephone_number": "410-721-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE PHYSICIANS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRS ERGENT CARE LLC",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "ELFENBEIN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-507-9698"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake ERgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chesapeake ERgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.