Organization Active NPI

Statcare Group II, PC

  • Urgent Care Clinic/Center
  • Aberdeen, MD
National Provider Identifier
1982147518
Registry record updated Jun 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
H0062737 Issued in MD
Legal business name
STATCARE GROUP II, PC
Doing business as
ChoiceOne Urgent Care II
Practice address
744 S Philadelphia Blvd
Aberdeen, MD 21001-3602
Phone
(443) 345-2650
Fax
(443) 345-2666
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2017

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

Authorized official

Name
Dr. Scott Theodore Burger, DO
Title
Chief Medical Officer
Phone
(410) 296-7190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X H0062737 MD
Urgent Care Clinic/Center 261QU0200X H0062737 MD Primary

Addresses

Primary practice location

744 S Philadelphia Blvd
Aberdeen, MD 21001-3602

Mailing address

1400 Front Ave
Suite 300
Lutherville, MD 21093-5300
Phone (410) 296-7190

Other identifiers 1

IdentifierTypeStateIssuer
H0062737OtherMDMEDICAL LICENSE

Other names 1

  • ChoiceOne Urgent Care II 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": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497571200000",
    "number": "1982147518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE",
            "address_2": "SUITE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935300",
            "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": "744 S PHILADELPHIA BLVD",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210013602",
            "telephone_number": "443-345-2650",
            "fax_number": "443-345-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATCARE GROUP II, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2017-06-16",
        "status": "A",
        "authorized_official_last_name": "BURGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "410-296-7190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "MD",
            "license": "H0062737",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": "H0062737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "H0062737",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChoiceOne Urgent Care II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2017; 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.