NPIMap

Organization Active NPI

Allcare of Maryland, LLC

  • Family Medicine Physician
  • Ellicott City, MD
National Provider Identifier
1568680213
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALLCARE OF MARYLAND, LLC
Practice address
9396D Baltimore National Pike
Ellicott City, MD 21042-2802
Phone
(410) 480-1990
Fax
(410) 630-1996
NPI assigned
Apr 20, 2007
Last updated
Mar 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Dr. George Sedrakyan, MD
Title
Medical Director
Phone
(410) 290-9990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

9396D Baltimore National Pike
Ellicott City, MD 21042-2802

Mailing address

6955 Oakland Mills Rd
Suite N
Columbia, MD 21045-5849
Phone (410) 290-9990

National Provider Directory

National Provider Directory
Tax ID family
Allcare of Maryland LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1568680213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 OAKLAND MILLS RD",
            "address_2": "SUITE N",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455849",
            "telephone_number": "410-290-9990",
            "fax_number": "410-290-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9396D BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422802",
            "telephone_number": "410-480-1990",
            "fax_number": "410-630-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE OF MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "SEDRAKYAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-290-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.