Main Street Medcenter

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

HOO36690 Issued in MD

Legal business name

MAIN STREET MEDCENTER

Practice address

951 Mount Hermon Rd Ste a
Salisbury, MD 21804-5159

Phone

(410) 548-2700

Fax

(410) 548-2608

NPI assigned

Oct 1, 2007

Last updated

Oct 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jane Ellen Burns, CRNP

Title

Administrator/Owner

Phone

(410) 548-2700

Specialties & licenses 1

Addresses

Tax ID family

Main Street Med Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Main Street Med Center LLC

  • Family Medicine Physician
  • Salisbury, MD
  • NPI 1164493482
  NPD tax ID

Locations

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1609063916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 MOUNT HERMON RD STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045159",
            "telephone_number": "410-548-2700",
            "fax_number": "410-548-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MOUNT HERMON RD STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045159",
            "telephone_number": "410-548-2700",
            "fax_number": "410-548-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET MEDCENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "410-548-2700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": "HOO36690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex L Mah, MD
• Mahesh Moondra, MD, PA
• Rahyan Mahmud, DO
• Jennifer L Mahoney, LGPC
• Main Street Med Center LLC
• Chiranjibi Mainali, MBBCH
• Bridget Kathleen Majka, MS, OTR/L
• Melvin Makey, DNP, CRNA
• Raymond T Makowske
• Mahmoud Malayeri, MD

• Urgent Care Clinic/Center in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Urgent Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.