Active NPI
Statcare Group, LLC
- Urgent Care Clinic/Center
- Dunkirk, MD
National Provider Identifier
1871065540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- STATCARE GROUP, LLC
- Practice address
- 10845 Town Center Blvd Ste 108
Dunkirk, MD 20754-2712 - Phone
- (410) 286-7911
- Fax
- (410) 452-3086
- NPI assigned
- Dec 19, 2018
- Last updated
- Dec 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Theodore Burger
- Title
- Cmo
- Phone
- (410) 296-0018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
10845 Town Center Blvd Ste 108
Dunkirk, MD 20754-2712
Mailing address
3711 S Mopac Expy
BLDG 2 Ste 400
Austin, TX 78746
Phone (512) 271-5844
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545177600000",
"number": "1871065540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3711 S MOPAC EXPY",
"address_2": "BLDG 2 STE 400",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-271-5844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10845 TOWN CENTER BLVD STE 108",
"city": "DUNKIRK",
"state": "MD",
"postal_code": "207542712",
"telephone_number": "410-286-7911",
"fax_number": "410-452-3086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATCARE GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-19",
"last_updated": "2018-12-19",
"status": "A",
"authorized_official_last_name": "BURGER",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "THEODORE",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "410-296-0018"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunkirk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.