Organization
ELLICOTT CITY PRIMARY CARE MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES EDWARD SHEEHAN III M.D. (PRESIDENT)
(410) 465-1090
Entity
Organization
Contact information
Practice address
10298B BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-3670
(410) 465-1091
(410) 465-8129
Mailing address
10298B BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-3670
(410) 465-1091
(410) 465-8129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0028246
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ORGANIZATIONAL NPI
1033391081
—
Enumeration date
12/02/2007
Last updated
09/17/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up