NPIMap

Organization Active NPI

Atlantic General Hospital Corp

Doing business as Pocomoke Imaging Center

  • Radiology Clinic/Center
  • Pocomoke City, MD
National Provider Identifier
1710944848
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
47-0120 Issued in MD
Legal business name
ATLANTIC GENERAL HOSPITAL CORP
Doing business as
Pocomoke Imaging Center
Practice address
500 Market St Ste 101
Pocomoke City, MD 21851-1171
Phone
(410) 957-1311
Fax
(410) 957-1229
NPI assigned
May 1, 2006
Last updated
Nov 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Cheryl Nottingham
Title
VP Finance/Cfo
Phone
(410) 641-9602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 47-0120 MD Primary

Addresses

Primary practice location

500 Market St Ste 101
Pocomoke City, MD 21851-1171

Mailing address

9733 Healthway Dr
Berlin, MD 21811-1155
Phone (410) 641-9602

Other identifiers 1

IdentifierTypeStateIssuer
405204800MedicaidMD

Other names 1

  • Pocomoke Imaging Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Atlantic General Hospital35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Locations

500 Market St
Ste 101
Pocomoke City, MD 21851
Phone (410) 957-1311

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1710944848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9733 HEALTHWAY DR",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111155",
            "telephone_number": "410-641-9602",
            "fax_number": "410-641-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKET ST STE 101",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218511171",
            "telephone_number": "410-957-1311",
            "fax_number": "410-957-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC GENERAL HOSPITAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "NOTTINGHAM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "VP FINANCE/CFO",
        "authorized_official_telephone_number": "410-641-9602"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MD",
            "license": "47-0120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405204800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pocomoke Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pocomoke Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocomoke City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.