Organization Active NPI

Team Critical Care LLC

  • Ambulance
  • Gaithersburg, MD
National Provider Identifier
1487796835
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
123 Issued in MD
Legal business name
TEAM CRITICAL CARE LLC
Practice address
8041 Cessna Ave
Suite 200
Gaithersburg, MD 20879-4169
Phone
(301) 740-8550
Fax
(301) 740-7442
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Michael Bruce Norton
Title
Owner, Ceo
Phone
(301) 740-8550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X MD
Ambulance 341600000X 123 MD Primary

Addresses

Primary practice location

8041 Cessna Ave
Suite 200
Gaithersburg, MD 20879-4169

Mailing address

8041 Cessna Ave
Suite 200
Gaithersburg, MD 20879-4169
Phone (301) 740-8550

Other identifiers 1

IdentifierTypeStateIssuer
412316600MedicaidMD

National Provider Directory

National Provider Directory

Locations

19209 Chennault Way
#L
Gaithersburg, MD 20879
Phone (301) 740-8550

19209 Chennault Way
Ste L
Gaithersburg, MD 20879
Phone (301) 740-8550

8041 Cessna Ave
Ste 200
Gaithersburg, MD 20879
Phone (301) 740-8550

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1487796835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8041 CESSNA AVE",
            "address_2": "SUITE 200",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208794169",
            "telephone_number": "301-740-8550",
            "fax_number": "301-740-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8041 CESSNA AVE",
            "address_2": "SUITE 200",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208794169",
            "telephone_number": "301-740-8550",
            "fax_number": "301-740-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM CRITICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "301-740-8550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MD",
            "license": "123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412316600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.