Organization Active NPI

Ev Healthcare, LLC

  • Primary Care Clinic/Center
  • Towson, MD
National Provider Identifier
1689118291
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R165813 Issued in MD
Legal business name
EV HEALTHCARE, LLC
Practice address
1045 Taylor Ave Ste 210
Towson, MD 21286-8331
Phone
(443) 261-6130
Fax
(410) 946-1925
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Dr. Tamar Avatar Adolemaiu-Bey, CRNP, DNPNPI 1619127420
Title
Medical Director/PCP
Phone
(443) 216-9779

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
Primary Care Clinic/Center 261QP2300X R165813 MD Primary

Addresses

Primary practice location

1045 Taylor Ave Ste 210
Towson, MD 21286-8331

Mailing address

1045 Taylor Ave Ste 210
Towson, MD 21286-8331
Phone (443) 261-6130

Other practice location 1

1910 Towne Centre Blvd Ste 250
Annapolis, MD 21401-3599
Phone (443) 216-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170125000054 MD Part B Supplier - Clinic/Group Practice 2567744600 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

1 E Chase St
Ste 1138
Baltimore, MD 21202
Phone (443) 216-9779

1800 N Charles St
Ste 206
Baltimore, MD 21201
Phone (410) 844-2335

1 Olympic Pl
Fl 9
Towson, MD 21204

1045 Taylor Ave
Ste 210
Towson, MD 21286
Phone (443) 261-6130

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18879/brand/1/csg/1/fhir/r4

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": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1689118291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 TAYLOR AVE STE 210",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868331",
            "telephone_number": "443-261-6130",
            "fax_number": "410-946-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 TAYLOR AVE STE 210",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868331",
            "telephone_number": "443-261-6130",
            "fax_number": "410-946-1925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Towne Centre Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013599",
            "country_code": "US",
            "telephone_number": "443-216-9779",
            "fax_number": "410-946-1925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EV HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "ADOLEMAIU-BEY",
        "authorized_official_first_name": "TAMAR",
        "authorized_official_middle_name": "AVATAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PCP",
        "authorized_official_telephone_number": "443-216-9779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CRNP, DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R165813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.