MEDICARE: MEDSTAR URGENT CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1811679194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDSTAR URGENT CARE LLC

Provider Business Mailing Address
First Line	:	3007 TILDEN ST NW STE 5N
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20008-3030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8125 RITCHIE HWY STE H
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-6925
Country	:	US
Telephone Number	:	855-910-3278
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	STEPHANIE SCHNEIDER
Credential	:
Telephone Number	:	702-558-1403

Provider Enumeration Date	:	08/04/2023
Last Update Date	:	03/18/2026

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