Active NPI
DRS Ergent Care, LLC
- Urgent Care Clinic/Center
- Gambrills, MD
National Provider Identifier
1780039818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- D0060177
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryOwnership & 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.
-
dba Chesapeake ERgent Care
- General Practice Physician
- Gambrills, MD
- NPI 1487119046
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.