ASCENSION SAINT AGNES PRIMARY CARE ELLICOTT CITY
NPI 1518787142
Family Medicine in Ellicott City, MD
NPI Status: Active since October 17, 2024
Contact Information
2850 NORTH RIDGE ROAD
SUITE 103
ELLICOTT CITY, MD
ZIP 21043
Phone: (410) 465-8119
- Organization
- Family Medicine
- CLIA Number: 21D0920587
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-03-2026
About ASCENSION SAINT AGNES PRIMARY CARE ELLICOTT CITY
This page provides the complete NPI Profile along with additional information for Ascension Saint Agnes Primary Care Ellicott City, a primary care provider established in Ellicott City, Maryland operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1518787142 assigned on October 2024. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Ascension Saint Agnes Primary Care Ellicott City operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Ascension Saint Agnes Primary Care Ellicott City. The authorized official of this NPI record is Mr. William B Higginbotham (President/ceo)
- NPI
- 1518787142
- Provider Legal Name
- SETON MEDICAL GROUP, INC
- Other Organization Name
- ASCENSION SAINT AGNES PRIMARY CARE ELLICOTT CITY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 2850 NORTH RIDGE ROAD SUITE 103 ELLICOTT CITY, MD 21043
- Location Phone
- (410) 465-8119
- Mailing Address
- 2850 NORTH RIDGE ROAD SUITE 103 ELLICOTT CITY, MD 21043
- Mailing Phone
- (410) 465-8119
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-17-2024
- Last Update Date
- 10-31-2024
- Code Navigator
A primary care provider (PCP) like Ascension Saint Agnes Primary Care Ellicott City 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal 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
- 21D0920587
- Facility Type
- Physician Office
- Certificate Effective Date
- October 04, 2024
- Certificate Expiration Date
- October 03, 2026
- Laboratory Director
- KATHLEEN YORK-JORDAN MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Ascension Saint Agnes Primary Care Ellicott City in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1518787142, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
ELLICOTT CITY, MD 21043
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518787142, enumerated as an "organization" on October 17, 2024.
The provider is located at 2850 NORTH RIDGE ROAD SUITE 103 ELLICOTT CITY, MD 21043 and the phone number is (410) 465-8119.
Family Medicine with taxonomy code 207Q00000X.
