ASCENSION SAINT AGNES PRIMARY CARE ELKRIDGE
NPI 1083434617
Internal Medicine in Elkridge, MD

Active since October 17, 2024CLIA 21D2009918 · Waiver
6518 MEADOWRIDGE RD STE 110, ELKRIDGE, MD 21075(667) 234-8650 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ascension Saint Agnes Primary Care Elkridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASCENSION SAINT AGNES PRIMARY CARE ELKRIDGE (NPI 1083434617) is a healthcare organization registered as an internal medicine in Elkridge, Maryland and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through July 15, 2028 and lists William B Higginbotham, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1083434617
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSETON MEDICAL GROUP, INC
Location Address6518 MEADOWRIDGE RD STE 110Elkridge, MD 21075-6458
Mailing Address6518 Meadowridge Rd Ste 110Elkridge, MD 21075-6458 · (667) 234-8650
Organization SubpartYesParent: Ascension Health
Authorized OfficialWilliam B HigginbothamPresident/ceo · (667) 234-3162
Enumeration DateOctober 17, 2024
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
NPI 1083434617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
6518 MEADOWRIDGE RD STE 110, Elkridge, MD 21075

Other Names 1

Other NameAscension Saint Agnes Primary Care Elkridge

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2009918

Seton Medical Group At Elkridge · Elkridge, MD
Active · expires Jul 15, 2028
CLIA Number21D2009918
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorDr. Marie-Alberte Boursiquot
Laboratory Phone(410) 368-8631
Laboratory LocationSeton Medical Group At Elkridge6518 Meadowridge Road Suite 110, Elkridge, MD 21075
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seton Medical Group, Inc's NPI number?

The NPI number for Seton Medical Group, Inc is 1083434617. It was assigned to this organization in the NPPES registry on October 17, 2024. The provider is also known as Ascension Saint Agnes Primary Care Elkridge.

Where is Seton Medical Group, Inc located?

Seton Medical Group, Inc is located at 6518 Meadowridge Rd Ste 110, Elkridge, MD 21075. The listed phone number is (667) 234-8650.

What is Seton Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Seton Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2009918) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Seton Medical Group, Inc was last updated on October 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.