NPIMap

Organization Active NPI

Statcare Group LLC

Doing business as ChoiceOne Urgent Care of Towson

  • Urgent Care Clinic/Center
  • Phoenix, MD
National Provider Identifier
1861448813
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
STATCARE GROUP LLC
Doing business as
ChoiceOne Urgent Care of Towson
Practice address
14237 Jarrettsville Pike
Phoenix, MD 21131-1403
Phone
(410) 650-4735
Fax
(410) 650-4734
NPI assigned
May 25, 2006
Last updated
Jul 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Dr. Scott Theodore Burger, D.O.
Title
Chief Medical Officer
Phone
(410) 296-7190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X MD
Urgent Care Clinic/Center 261QU0200X MD Primary

Addresses

Primary practice location

14237 Jarrettsville Pike
Phoenix, MD 21131-1403

Mailing address

1400 Front Avenue
Suite 109
Lutherville, MD 21093
Phone (410) 296-7190

Other practice location 1

711 W 40th St Ste 173
Baltimore, MD 21211-2147
Phone (443) 961-1221

Other practice location 2

1730 Merritt Blvd
Dundalk, MD 21222-3212
Phone (410) 650-4731

Other practice location 3

600 E Belvedere Ave Ste A
Baltimore, MD 21212-3713
Phone (410) 296-0018

Other names 1

  • ChoiceOne Urgent Care of Towson Doing business as

National Provider Directory

National Provider Directory

Locations

1400 Front Ave
Ste 109
Lutherville, MD 21093

1220A E Joppa Rd
Ste 109
Towson, MD 21286
Phone (410) 296-0018

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1861448813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVENUE",
            "address_2": "SUITE 109",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-296-7190",
            "fax_number": "443-991-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14237 JARRETTSVILLE PIKE",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211311403",
            "telephone_number": "410-650-4735",
            "fax_number": "410-650-4734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 W 40th St Ste 173",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212112147",
            "country_code": "US",
            "telephone_number": "443-961-1221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1730 Merritt Blvd",
            "address_purpose": "LOCATION",
            "city": "Dundalk",
            "state": "MD",
            "postal_code": "212223212",
            "country_code": "US",
            "telephone_number": "410-650-4731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E Belvedere Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212123713",
            "country_code": "US",
            "telephone_number": "410-296-0018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STATCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "BURGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "410-296-7190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChoiceOne Urgent Care of Towson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ChoiceOne Urgent Care of Towson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.