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Contact Information

MEDSTAR ACCOUNTABLE CARE, LLC
5565 STERRETT PLACE
5TH FLOOR
COLUMBIA, MD21044
 Phone: 410-722-6500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MEDSTAR ACCOUNTABLE CARE, LLC

NPI Number 1528444890
LBN Legal business name MEDSTAR ACCOUNTABLE CARE, LLC
Authorized official ERIC WAGNER - (EXECUTIVE VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2015
Last updated 08/10/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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