NPIMap

Organization Active NPI

Eastern Shore Urgent Care LLC

  • Urgent Care Clinic/Center
  • Chestertown, MD
National Provider Identifier
1548924988
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EASTERN SHORE URGENT CARE LLC
Practice address
7416 Church Hill Rd
Chestertown, MD 21620-2808
Phone
(570) 872-4533
NPI assigned
Oct 22, 2021
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Lauren Bruneio, CRNPNPI 1689112054
Title
Owner
Phone
(570) 872-4533

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
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

7416 Church Hill Rd
Chestertown, MD 21620-2808

Mailing address

7416 Church Hill Rd
Chestertown, MD 21620-2808
Phone (570) 872-4533

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.easternshoreuc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220622000971 MD Part B Supplier - Clinic/Group Practice 6608255682 Receives reassigned benefits from 10 practitioners
Practice locations: Chestertown, MD
O20240227001666 MD DME Supplier - Nurse Practitioner 6608255682 Practice locations: Chestertown, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2255320Eastern Shore Urgent Care LLC7416 Church Hill Road, Chestertown, MD 21620Certificate of waiverMar 13, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eastern Shore Urgent Care7416 Church Hill Rd, Chestertown, MD 21620-2808(410) 498-4848 Orthoses: Off-The-Shelf Accepts assignmentParticipating since Jun 1, 2022

National Provider Directory

National Provider Directory

Locations

7416 Church Hill Rd
Chestertown, MD 21620
Phone (410) 498-4848

Practitioners & affiliated clinicians

Practitioners 10

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": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1548924988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7416 CHURCH HILL RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202808",
            "telephone_number": "570-872-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7416 CHURCH HILL RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202808",
            "telephone_number": "570-872-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "BRUNEIO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-872-4533",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.easternshoreuc.com",
            "affiliation": "N",
            "endpointDescription": "Website portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7416 Church Hill Rd",
            "city": "Chestertown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216202808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.