NPIMap

Organization Active NPI

Statcare Group, LLC

  • Urgent Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1588146229
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
STATCARE GROUP, LLC
Practice address
600 E Belvedere Ave Ste a
Baltimore, MD 21212-3713
Phone
(410) 296-0118
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
Scott Theodore Burger, DO
Title
Cmo
Phone
(410) 296-0018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

600 E Belvedere Ave Ste a
Baltimore, MD 21212-3713

Mailing address

3711 S Mo Pac Expy
BLDG 2 Ste 400
Austin, TX 78746
Phone (512) 271-5844

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1588146229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 S MO PAC EXPY",
            "address_2": "BLDG 2 STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-271-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E BELVEDERE AVE STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123713",
            "telephone_number": "410-296-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "BURGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "410-296-0018",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.