NPIMap

Organization Active NPI

Statcare Group, LLC

  • Urgent Care Clinic/Center
  • Prince Frederick, MD
National Provider Identifier
1780156455
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
STATCARE GROUP, LLC
Practice address
130 Hospital Rd Ste 102
Prince Frederick, MD 20678-4029
Phone
(410) 535-8911
NPI assigned
Dec 19, 2018
Last updated
Dec 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Authorized official

Name
Scott Theodore Burger
Title
Cmo
Phone
(410) 296-0018

Specialties & licenses 1

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

Addresses

Primary practice location

130 Hospital Rd Ste 102
Prince Frederick, MD 20678-4029

Mailing address

3711 S Mopac Expy
BLDG 2 Ste 400
Austin, TX 78746
Phone (512) 271-5844

National Provider Directory

National Provider Directory

Locations

600 E Belvedere Ave
Ste A
Baltimore, MD 21212
Phone (410) 296-0018

85 Stewart Dr
Edgewater, MD 21037
Phone (410) 870-5094

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1780156455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 S MOPAC EXPY",
            "address_2": "BLDG 2 STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-271-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD STE 102",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784029",
            "telephone_number": "410-535-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "BURGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "410-296-0018"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.