NPIMap

Organization Active NPI

Ferguson Care LLC

  • Family Medicine Physician
  • Pikesville, MD
National Provider Identifier
1861705857
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FERGUSON CARE LLC
Doing business as
American Family Care/Doctors Express
Practice address
1860 Reisterstown Rd
Pikesville, MD 21208-1335
Phone
(410) 484-4044
Fax
(410) 741-3797
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Mrs. Lynn Michelle GondeckNPI 1164919718
Title
Medical Administrator
Phone
(443) 244-0318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Urgent Care Clinic/Center 261QU0200X
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

1860 Reisterstown Rd
Pikesville, MD 21208-1335

Mailing address

4111 Lower Beckleysville Rd Ste C
Hampstead, MD 21074-2248
Phone (410) 374-0808

Other identifiers 1

IdentifierTypeStateIssuer
421373400MedicaidMD

Other names 1

  • American Family Care/Doctors Express Doing business as

National Provider Directory

National Provider Directory

Locations

1860 Reisterstown Rd
#A
Pikesville, MD 21208
Phone (410) 484-4044

1860 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 415-5105

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1861705857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 LOWER BECKLEYSVILLE RD STE C",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210742248",
            "telephone_number": "410-374-0808",
            "fax_number": "410-741-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081335",
            "telephone_number": "410-484-4044",
            "fax_number": "410-741-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSON CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "GONDECK",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MEDICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "443-244-0318",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421373400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Family Care/Doctors Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.