Upper Chesapeake Neurodiagnostics

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

D0047325 Issued in MD

Legal business name

UPPER CHESAPEAKE NEURODIAGNOSTICS

Practice address

101 Chesapeake Blvd
Suite D
Elkton, MD 21921-6607

Phone

(443) 245-3452

Fax

(443) 245-3490

NPI assigned

Mar 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Frank Falco, M.D.

Title

Medical Director

Phone

(302) 369-1700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1902104581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219220734",
            "telephone_number": "302-369-1700",
            "fax_number": "302-369-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHESAPEAKE BLVD",
            "address_2": "SUITE D",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216607",
            "telephone_number": "443-245-3452",
            "fax_number": "443-245-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CHESAPEAKE NEURODIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "FALCO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "302-369-1700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MD",
            "license": "D0047325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upper Bay Counseling and Support Services, Inc
• Upper Bay Counseling and Support Services, Inc
• Upper Bay Counseling& Support Services, Inc
• Upper Bay Counseling&Support Services
• Upper Bay Surgery Center, LLC
• Upper Chesapeake Surgical Associates, LLC
• Usacs Integrated Acute Care Services of Maryland, LLC
• Lisa Henrika Van Eyndhoven, DDS
• April Lynn Van Luven, RD
• Vans R US LLC

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Elkton, MD
• Providers in Elkton, MD by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.