NPIMap

Organization Active NPI

Ulticare

  • Primary Care Clinic/Center
  • Clarksville, MD
National Provider Identifier
1861802290
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ULTICARE
Practice address
11901 Evening CT
Clarksville, MD 21029-1252
Phone
(443) 604-0568
Fax
(443) 535-9704
NPI assigned
May 7, 2014
Last updated
May 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Dr. Gerald Apollon, M.D.
Title
Medical Director
Phone
(443) 604-0568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD Primary

Addresses

Primary practice location

11901 Evening CT
Clarksville, MD 21029-1252

Mailing address

11901 Evening CT
Clarksville, MD 21029-1252
Phone (443) 604-0568

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1861802290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 EVENING CT",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291252",
            "telephone_number": "443-604-0568",
            "fax_number": "443-535-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 EVENING CT",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291252",
            "telephone_number": "443-604-0568",
            "fax_number": "443-535-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTICARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "APOLLON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-604-0568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.