Active NPI
Family Care of Easton, LLC
- Family Medicine Physician
- Easton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY CARE OF EASTON, LLC
- Practice address
- 8579 Commerce Drive
Suite 106
Easton, MD 21601-7420 - Phone
- (410) 819-0404
- Fax
- (410) 819-0751
- NPI assigned
- Jul 28, 2006
- Last updated
- Dec 2, 2024
- 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
- Susan E Delean-Botkin, CRNP
- Title
- Partner
- Phone
- (410) 819-0404
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
8579 Commerce Drive
Suite 106
Easton, MD 21601-7420
Mailing address
8579 Commerce Drive
Suite 106
Easton, MD 21601-7420
Phone (410) 819-0404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404025200 | Medicaid | MD | |
| DB0501 | Other | MD | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2318438 | Family Care of Easton | Certificate of waiver | Feb 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
8579 Commerce Dr
Ste 106
Easton, MD 21601
Phone (410) 819-0404
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Easton, MD
- NPI 1043306335
-
- Family Nurse Practitioner
- Easton, MD
- NPI 1245843614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733097600000",
"number": "1982618617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8579 COMMERCE DRIVE",
"address_2": "SUITE 106",
"city": "EASTON",
"state": "MD",
"postal_code": "216017420",
"telephone_number": "410-819-0404",
"fax_number": "410-819-0751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8579 COMMERCE DRIVE",
"address_2": "SUITE 106",
"city": "EASTON",
"state": "MD",
"postal_code": "216017420",
"telephone_number": "410-819-0404",
"fax_number": "410-819-0751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE OF EASTON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A",
"authorized_official_last_name": "DELEAN-BOTKIN",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "410-819-0404",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "404025200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB0501",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.