Organization Active NPI

Ydiprmc LLC

  • Urgent Care Clinic/Center
  • Cambridge, MD
National Provider Identifier
1851752513
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
YDIPRMC LLC
Practice address
300 Sunburst Hwy
Cambridge, MD 21613-2506
Phone
(443) 477-6324
Fax
(410) 334-6352
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Maria A Cornman
Title
Credentialing Manager
Phone
(443) 944-3351

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

300 Sunburst Hwy
Cambridge, MD 21613-2506

Mailing address

327 Tilghman Rd Ste 200
Salisbury, MD 21804-2015
Phone (443) 944-3351

National Provider Directory

National Provider Directory
Tax ID family
Chesapeake Medical Solutions PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

8163 Ocean Gtwy
Easton, MD 21601
Phone (410) 334-6351

12385 Ocean Gtwy
Ocean City, MD 21842
Phone (410) 334-6351

1511 Ocean Hwy
Pocomoke City, MD 21851
Phone (410) 334-6351

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1851752513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 TILGHMAN RD STE 200",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042015",
            "telephone_number": "443-944-3351",
            "fax_number": "410-334-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SUNBURST HWY",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132506",
            "telephone_number": "443-477-6324",
            "fax_number": "410-334-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YDIPRMC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "CORNMAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "443-944-3351"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "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 Jan 10, 2023; 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.