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ASCENSION SAINT AGNES PRIMARY CARE CANTON
NPI 1194546721
Internal Medicine in Baltimore, MD

Active since October 17, 2024CLIA 21D0937427 · Waiver
2801 FOSTER AVENUE, BALTIMORE, MD 21224(410) 342-0333 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ascension Saint Agnes Primary Care Canton NPPES

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

ASCENSION SAINT AGNES PRIMARY CARE CANTON (NPI 1194546721) is a healthcare organization registered as an internal medicine in Baltimore, Maryland and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through December 15, 2027 and lists William B Higginbotham, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1194546721
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSETON MEDICAL GROUP, INC
Location Address2801 FOSTER AVENUEBaltimore, MD 21224-3862
Mailing Address2801 Foster AvenueBaltimore, MD 21224-3862 · (410) 342-0333
Phone(410) 342-0333
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 1194546721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
2801 FOSTER AVENUE, Baltimore, MD 21224
Open in Google Maps ↗

Other Names 1

Other NameAscension Saint Agnes Primary Care Canton

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 21D0937427

Seton Medical Group · Baltimore, MD
Active · expires Dec 15, 2027
CLIA Number21D0937427
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorKenneth H. Williams MD
Laboratory Phone(410) 342-5990
Laboratory LocationSeton Medical Group2801 Foster Avenue, Baltimore, MD 21224
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA J LACKEY PHD PA
Psychologist (Clinical)
2801 FOSTER AVENUE
BALTIMORE, MD 21224
Baltimore City (410) 499-7792
RITE AID OF MARYLAND INC
Pharmacy (Community/Retail Pharmacy)
2801 FOSTER AVENUE
BALTIMORE, MD 21224
Baltimore City (410) 732-0523

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 1194546721. 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 Canton.

Where is Seton Medical Group, Inc located?

Seton Medical Group, Inc is located at 2801 Foster Avenue, Baltimore, MD 21224. The listed phone number is (410) 342-0333.

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 21D0937427) is associated with this NPI, valid through December 15, 2027. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.