NPIMap

Organization Active NPI

Integrace, Inc.

Doing business as Primary Care Services at Heron Point

  • Internal Medicine Physician
  • Chestertown, MD
National Provider Identifier
1760198824
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTEGRACE, INC.
Doing business as
Primary Care Services at Heron Point
Practice address
501 E Campus Ave
Chestertown, MD 21620-1696
Phone
(267) 787-4097
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRACE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Susan Ahern
Title
SVP, Cfo
Phone
(215) 661-8330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

501 E Campus Ave
Chestertown, MD 21620-1696

Mailing address

420 Delaware Dr
Ft Washington, PA 19034-2711
Phone (267) 787-4097

Other names 1

  • Primary Care Services at Heron Point Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200325000624 MD Part B Supplier - Clinic/Group Practice 1759376015 Receives reassigned benefits from 5 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sykesville, MD; Easton, MD; Chestertown, MD; Adamstown, MD

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Acts Communities of MD Inc8 organizations share this tax ID, including this one
Part of
Acts Communities of MD Inc

Other organizations with this tax ID 7

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

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": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1760198824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DELAWARE DR",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190342711",
            "telephone_number": "267-787-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E CAMPUS AVE",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201696",
            "telephone_number": "267-787-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRACE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRACE, INC.",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "AHERN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SVP, CFO",
        "authorized_official_telephone_number": "215-661-8330"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Services at Heron Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chestertown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.