NPIMap

Organization Active NPI

Eastern Shore Hospital Center/Physician Group

  • Psychiatric Hospital
  • Cambridge, MD
National Provider Identifier
1760412126
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
09003 Issued in MD
Legal business name
EASTERN SHORE HOSPITAL CENTER/PHYSICIAN GROUP
Practice address
5262 Woods Rd
Eastern Shore Hospital Center
Cambridge, MD 21613-3796
Phone
(410) 221-2300
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Kay Noren, LCSW-C
Title
Chief Executive Officer
Phone
(410) 221-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 09003 MD Primary

Addresses

Primary practice location

5262 Woods Rd
Eastern Shore Hospital Center
Cambridge, MD 21613-3796

Mailing address

5262 Woods Rd
Eastern Shore Hospital Center
Cambridge, MD 21613-3796
Phone (410) 221-2300

National Provider Directory

National Provider Directory
Tax ID family
Howard County Health de83 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760412126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5262 WOODS RD",
            "address_2": "EASTERN SHORE HOSPITAL CENTER",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133796",
            "telephone_number": "410-221-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5262 WOODS RD",
            "address_2": "EASTERN SHORE HOSPITAL CENTER",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133796",
            "telephone_number": "410-221-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE HOSPITAL CENTER/PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOREN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "410-221-2525",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MD",
            "license": "09003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.