Organization Active NPI

Oncall Medical Providers, LLC

  • Primary Care Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1902673023
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ONCALL MEDICAL PROVIDERS, LLC
Practice address
8807 Briarcliff LN
Frederick, MD 21701-5887
Phone
(240) 347-2430
Fax
(949) 695-4189
NPI assigned
Dec 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Carl E Laguerre, CRNPNPI 1730632753
Title
Nurse Practitioner
Phone
(240) 347-2430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X Primary

Addresses

Primary practice location

8807 Briarcliff LN
Frederick, MD 21701-5887

Mailing address

PO Box 15
Monrovia, MD 21770-0015
Phone (240) 347-2430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240130000079 MD Part B Supplier - Clinic/Group Practice 3678926342 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD
O20240321001191 DC Part B Supplier - Clinic/Group Practice 3678926342 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1902673023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "MONROVIA",
            "state": "MD",
            "postal_code": "217700015",
            "telephone_number": "240-347-2430",
            "fax_number": "949-695-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8807 BRIARCLIFF LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015887",
            "telephone_number": "240-347-2430",
            "fax_number": "949-695-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCALL MEDICAL PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "LAGUERRE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-347-2430",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.