# SETON MEDICAL GROUP, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASCENSION HEALTH
- **Other names:** Seton Medical Group - Mobile Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255130704
- **Legal business name:** ASCENSION HEALTH
- **Authorized official:** MR. WILLIAM B HIGGINGBOTHAM (PRESIDENT/CEO)
- **Authorized official phone:** (667) 234-3162

## Contact information

- **Practice address:** 900 CATON AVE, BALTIMORE, MD 21229-5201
- **Practice address phone:** (667) 234-2626
- **Mailing address:** 900 CATON AVE, BALTIMORE, MD 21229-5201
- **Mailing address phone:** (667) 234-2626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 03/10/2025
- **Last updated:** 11/06/2025