NPIMap

Organization Active NPI

Atlantic General Hospital Corporation

  • Family Medicine Physician
  • Ocean View, DE
National Provider Identifier
1801614508
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ATLANTIC GENERAL HOSPITAL CORPORATION
Practice address
96 Atlantic Ave Ste 101
Ocean View, DE 19970-9103
Phone
(302) 541-4460
NPI assigned
Oct 1, 2024
Organization subpart
Yes
Parent organization
ATLANTIC GENERAL HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Stephanie Gary
Title
SVP, Finance/Cfo of Tidalhealth
Phone
(410) 912-6059

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

96 Atlantic Ave Ste 101
Ocean View, DE 19970-9103

Mailing address

9733 Healthway Dr
Berlin, MD 21811-1156
Phone (410) 629-6037

Other names 1

  • Atlantic General Health System Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Atlantic General Hospital Corp35 organizations share this tax ID, including this one
Part of
Atlantic General Hospital Corp

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1801614508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9733 HEALTHWAY DR",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111156",
            "telephone_number": "410-629-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 ATLANTIC AVE STE 101",
            "city": "OCEAN VIEW",
            "state": "DE",
            "postal_code": "199709103",
            "telephone_number": "302-541-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC GENERAL HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC GENERAL HOSPITAL CORPORATION",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "SVP, FINANCE/CFO OF TIDALHEALTH",
        "authorized_official_telephone_number": "410-912-6059"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic General Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlantic General Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocean View, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.