Organization Active NPI

Statcare Group II, PC

  • Urgent Care Clinic/Center
  • Forest Hill, MD
National Provider Identifier
1619330818
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
STATCARE GROUP II, PC
Practice address
1528 Rock Spring Road
Suite 100
Forest Hill, MD 21050
Phone
(410) 296-7190
Fax
(410) 296-0344
NPI assigned
Apr 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Scott Theodore Burger, DO
Title
Chief Medical Office
Phone
(410) 296-7190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X MD
Urgent Care Clinic/Center 261QU0200X MD Primary

Addresses

Primary practice location

1528 Rock Spring Road
Suite 100
Forest Hill, MD 21050

Mailing address

1400 Front Ave
Suite 300
Lutherville, MD 21093-5300
Phone (410) 296-7190

Other identifiers 1

IdentifierTypeStateIssuer
H0062737OtherMDMEDICAL LICENSE

Other names 1

  • ChoiceOne Urgent Care II Doing business as

National Provider Directory

National Provider Directory

Locations

744 S Philadelphia Blvd
Aberdeen, MD 21001
Phone (410) 399-1951

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619330818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE",
            "address_2": "SUITE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935300",
            "telephone_number": "410-296-7190",
            "fax_number": "443-991-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 ROCK SPRING ROAD",
            "address_2": "SUITE 100",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "21050",
            "telephone_number": "410-296-7190",
            "fax_number": "410-296-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATCARE GROUP II, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICE",
        "authorized_official_telephone_number": "410-296-7190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "H0062737",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChoiceOne Urgent Care II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.