Atlantic General Hospital Corporation
Organization Active NPI Neurology Physician · Berlin, MD
NPI 1972321834 · NPPES record last updated May 30, 2025
Key facts
- NPI
- 1972321834
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- ATLANTIC GENERAL HOSPITAL CORPORATION
- Practice address
- 9714 Healthway Dr
Berlin, MD 21811-1154 - Phone
- (410) 641-4765
- NPI assigned
- Sep 30, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- ATLANTIC GENERAL HOSPITAL CORPORATION
Authorized official
- Name
- Stephanie Gary
- Title
- SVP, Finance/Cfo of Tidalhealth
- Phone
- (410) 912-6059
Corporate family (same tax ID) 34
National Provider Directory
- Tax ID family
- Atlantic General Hospital Corp
- Part of
- Atlantic General Hospital Corp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | Yes |
Addresses
Primary practice location
9714 Healthway Dr
Berlin, MD 21811-1154
Mailing address
9733 Healthway Dr
Berlin, MD 21811-1156
Phone (410) 629-6037
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 514300411 | Medicaid | MD |
Other names
- Atlantic General Health System
Other providers in Berlin, MD
- Atlantic General Hospital Corporation
- Atlantic General Hospital Corporation
- Atlantic General Hospital Corporation
- Atlantic General Hospital Corporation
- Atlantic General Hospital Corporation
- Atlantic Home Health Care Inc
- Atlantic Orthopaedics PA
- Atlantic Orthopaedics PA
- Atlantic Physical Therapy Rehabilitation and Sports Medicine Inc
- Atlantic Physical Therapy Rehabilitation and Sports Medicine Inc
All providers in Berlin, MD · Neurology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.