Healthcare Provider Details

I. General information

NPI: 1649041781
Provider Name (Legal Business Name): MEDSTAR URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 7TH ST SE
WASHINGTON DC
20003-4306
US

IV. Provider business mailing address

3007 TILDEN ST NW STE 5N
WASHINGTON DC
20008-3030
US

V. Phone/Fax

Practice location:
  • Phone: 202-698-0795
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: STEPHANIE SCHNEIDER
Title or Position: VICE PRESIDENT
Credential:
Phone: 703-558-1403