Statcare Group LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

STATCARE GROUP LLC

Practice address

1211 Liberty Rd
Eldersburg, MD 21784-7927

Phone

(410) 617-9530

NPI assigned

Mar 3, 2021

Organization subpart

No

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

Authorized official

Name

Shandi Faulk

Title

Director of Billing

Phone

(770) 461-3776

Specialties & licenses 1

Addresses

Other names 1

• Patriot Urgent Care Doing business as

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1891380606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 LIBERTY RD",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217847927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 LIBERTY RD",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217847927",
            "telephone_number": "410-617-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "FAULK",
        "authorized_official_first_name": "SHANDI",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "770-461-3776"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patriot Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma G. Sorenson, PA-C
• Fallon Mackenzie Spittel
• St. Agnes Healthcare, Inc.
• Derek Stanley, DPT
• Melissa Stansbury, NBC-HWC, ACSM-EP
• Spencer Sean Stcyr, D.D.S
• Nicole Stefan, COTA/L
• Steven Billet, M.D.P.a.
• Karen Griffith Stinson, P.T.
• Jenifer Jean Strine, LCSW-C

• Urgent Care Clinic/Center in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Urgent Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.