Main Line Urgent Care Medical Group PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MAIN LINE URGENT CARE MEDICAL GROUP PC

Practice address

103 Baltimore Pike Ste a
Springfield, PA 19064-3733

Phone

(484) 326-5200

Fax

(484) 472-7886

NPI assigned

Apr 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Maurice Reid, MD

Title

Ceo/MD

Phone

(410) 569-0044

Specialties & licenses 1

Addresses

Other names 1

• CareSTAT Urgent Care Centers Doing business as

Locations

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1730507286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144742",
            "telephone_number": "410-420-6970",
            "fax_number": "410-420-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BALTIMORE PIKE STE A",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643733",
            "telephone_number": "484-326-5200",
            "fax_number": "484-472-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE URGENT CARE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "CEO/MD",
        "authorized_official_telephone_number": "410-569-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareSTAT Urgent Care Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareSTAT Urgent Care Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Edward Macaw, PHARMD
• Bruce Harrison Macknight III
• Shannon Rose Magee, M.S., OTR/L
• Katherine Mary Mahon, MD
• Adrienne M Maimone, LCSW, MSW
• Christopher John Malanga, LPC
• Malik Dental Group PLLC
• Nehal Malik, DDS
• Richard Charles Mandel, D.M.D.
• Sean Mann, PT, DPT

• Urgent Care Clinic/Center in Springfield, PA
• Providers in Springfield, PA by specialty
• Urgent Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.