Organization Active NPI

DRS Ergent Care, LLC

  • Urgent Care Clinic/Center
  • Gambrills, MD
National Provider Identifier
1780039818
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
D0060177 Issued in MD
Legal business name
DRS ERGENT CARE, LLC
Practice address
1071 Route 3 N
Gambrills, MD 21054
Phone
(410) 507-9698
NPI assigned
Apr 26, 2016
Last updated
Nov 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Dr. Ron Elfenbein, MD
Title
Medical Director
Phone
(410) 507-9698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X D0060177 MD Primary

Addresses

Primary practice location

1071 Route 3 N
Gambrills, MD 21054

Mailing address

5005 Signal Bell LN Ste 200
Clarksville, MD 21029-2608
Phone (410) 721-2333

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1780039818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 SIGNAL BELL LN STE 200",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210292608",
            "telephone_number": "410-721-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 ROUTE 3 N",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "21054",
            "telephone_number": "410-507-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS ERGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "ELFENBEIN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-507-9698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": "D0060177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.