Active NPI
Statcare Group II, PC
- Urgent Care Clinic/Center
- Aberdeen, MD
National Provider Identifier
1982147518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- H0062737
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H0062737 | Other | MD | MEDICAL LICENSE |
Other names 1
- ChoiceOne Urgent Care II
National Provider Directory
National Provider DirectoryNPI 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.