Medacute Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDACUTE CARE LLC

Practice address

313 Skyview Dr
Cumberland, MD 21502-1929

Phone

(443) 602-6207

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ardalan Enkeshafi, MD

Title

MD

Phone

(443) 602-6207

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1891396107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 BEAU LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 SKYVIEW DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021929",
            "telephone_number": "443-602-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDACUTE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "ENKESHAFI",
        "authorized_official_first_name": "ARDALAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "443-602-6207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylynn McMillan
• Donna Jean McTaggart
• Stephanie Lynn McVicker, FNP-C
• Med 1St Walkin Clinic and Primary Care
• Med 1St Walkin Clinic and Primary Care
• Erin Louise Meisel, PHARMD
• Memorial Hospital and Medical Center of Cumberland Inc
• Memorial Hospital and Medical Center of Cumberland Inc
• Memorial Hospital and Medical Center of Cumberland, Inc.
• Memorial Hospital and Medical Center of Cumberland, Inc.

• Internal Medicine Physician in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Internal Medicine Physician in Maryland

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