Healthcare Provider Details
I. General information
NPI: 1942623319
Provider Name (Legal Business Name): MEDSTAR URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/21/2014
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6317 YORK RD
BALTIMORE MD
21212-2310
US
IV. Provider business mailing address
2233 WISCONSIN AVE NW STE 420
WASHINGTON DC
20007-4122
US
V. Phone/Fax
- Phone: 410-933-4966
- Fax:
- Phone: 410-933-4966
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
STEPHANIE
SCHNEIDER
Title or Position: VP
Credential:
Phone: 703-558-1403