NPIMap

Organization Active NPI

Statcare Group III, PC

Doing business as ChoiceOne Urgent Care III

  • Urgent Care Clinic/Center
  • Denton, MD
National Provider Identifier
1902261308
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
STATCARE GROUP III, PC
Doing business as
ChoiceOne Urgent Care III
Practice address
8 Denton Plaza
Denton, MD 21629-9501
Phone
(443) 606-2300
Fax
(443) 606-2305
NPI assigned
Dec 30, 2015
Last updated
Jul 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Dr. Scott T Burger, D.O.
Title
Chief Medical Officer
Phone
(410) 296-7190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X MD
Urgent Care Clinic/Center 261QU0200X MD Primary

Addresses

Primary practice location

8 Denton Plaza
Denton, MD 21629-9501

Mailing address

1400 Front Avenue
Suite 300
Lutherville, MD 21093
Phone (410) 296-7190

Other practice location 1

28522 Marlboro Ave Ste C
Easton, MD 21601-2792
Phone (443) 746-0086

Other identifiers 1

IdentifierTypeStateIssuer
H0062737OtherMDLICENSE NUMBER

Other names 1

  • ChoiceOne Urgent Care III Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1902261308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVENUE",
            "address_2": "SUITE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-296-7190",
            "fax_number": "443-991-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DENTON PLAZA",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216299501",
            "telephone_number": "443-606-2300",
            "fax_number": "443-606-2305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28522 Marlboro Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216012792",
            "country_code": "US",
            "telephone_number": "443-746-0086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STATCARE GROUP III, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "BURGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "410-296-7190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "H0062737",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChoiceOne Urgent Care III",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ChoiceOne Urgent Care III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, MD

Sources for this page

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