# SETON MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASCENSION HEALTH
- **Other names:** Ascension Saint Agnes Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265253835
- **Legal business name:** ASCENSION HEALTH
- **Authorized official:** MR. WILLIAM B HIGGINBOTHAM (PRESIDENT/CEO)
- **Authorized official phone:** (667) 234-3162

## Contact information

- **Practice address:** 900 CATON AVE, BALTIMORE, MD 21229-5201
- **Practice address phone:** (410) 369-2000
- **Mailing address:** 900 CATON AVE, BALTIMORE, MD 21229-5201
- **Mailing address phone:** (410) 369-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 10/17/2024
- **Last updated:** 10/17/2024