ATLANTIC IMMEDICARE LLC
NPI 1518199223
General Practice in Ocean City, MD
- Organization
- General Practice
- CLIA Number: 21D1015671
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-11-2027
About ATLANTIC IMMEDICARE LLC
This page provides the complete NPI Profile along with additional information for Atlantic Immedicare Llc, a primary care provider established in Ocean City, Maryland operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1518199223 assigned on August 2009. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Atlantic Immedicare Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jim Brannon Che (Vice Pres Of Professional Services)
- NPI
- 1518199223 Verify this NPI
- Provider Name
- ATLANTIC IMMEDICARE LLC
- Entity Type
- Organization
- Location Address
- 1001 PHILADELPHIA AVE OCEAN CITY, MD 21842
- Location Phone
- (410) 641-9450
- Location Fax
- (410) 641-9515
- Mailing Address
- 10026 OLD OCEAN CITY BLVD BUILDING ONE BERLIN, MD 21811
- Mailing Phone
- (410) 641-9450
- Mailing Fax
- (410) 641-9515
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-13-2009
- Last Update Date
- 08-13-2009
- Code Navigator
A primary care provider (PCP) like Atlantic Immedicare Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207PE0004X | Allopathic & Osteopathic Physicians | Emergency Medicine | |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D1015671
- Facility Type
- Physician Office
- Certificate Effective Date
- August 12, 2025
- Certificate Expiration Date
- August 11, 2027
- Laboratory Director
- EDWIN T. CASTANEDA MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Atlantic Immedicare Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518199223, enumerated as an "organization" on August 13, 2009.
The provider is located at 1001 PHILADELPHIA AVE OCEAN CITY, MD 21842 and the phone number is (410) 641-9450.
General Practice with taxonomy code 208D00000X.
