Organization Active NPI

Complete Access Care, LLC

  • Emergency Medicine Physician
  • Catonsville, MD
National Provider Identifier
1982226023
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
COMPLETE ACCESS CARE, LLC
Practice address
1035 Ingleside Ave
Catonsville, MD 21228-1318
Phone
(410) 663-4036
NPI assigned
May 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Authorized official

Name
Andre Foster, NP
Title
Owner
Phone
(410) 663-4036

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1035 Ingleside Ave
Catonsville, MD 21228-1318

Mailing address

11532 Garrison Forest Rd
Owings Mills, MD 21117-2210

National Provider Directory

National Provider Directory

Locations

1035 Ingleside Ave
Catonsville, MD 21228
Phone (410) 663-4036

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1982226023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11532 GARRISON FOREST RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 INGLESIDE AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281318",
            "telephone_number": "410-663-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE ACCESS CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-663-4036",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.