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ASCENSION SAINT AGNES PRIMARY CARE ELLICOTT CITY
NPI 1518787142
Family Medicine in Ellicott City, MD

Active since October 17, 2024CLIA 21D0920587 · Microscopy
2850 NORTH RIDGE ROAD, SUITE 103, ELLICOTT CITY, MD 21043(410) 465-8119 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 Ellicott City NPPES

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

ASCENSION SAINT AGNES PRIMARY CARE ELLICOTT CITY (NPI 1518787142) is a healthcare organization registered as a family medicine in Ellicott City, Maryland and active in the NPI registry since October 2024. The organization holds a CLIA Microscopy certificate valid through October 3, 2026 and lists William B Higginbotham, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1518787142
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSETON MEDICAL GROUP, INC
Location Address2850 NORTH RIDGE ROAD, SUITE 103Ellicott City, MD 21043-3396
Mailing Address2850 North Ridge Road, Suite 103Ellicott City, MD 21043-3396 · (410) 465-8119
Phone(410) 465-8119
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 1518787142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
2850 NORTH RIDGE ROAD, Ellicott City, MD 21043
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Other Names 1

Other NameAscension Saint Agnes Primary Care Ellicott City

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 for Provider-Performed Microscopy Procedures (PPMP) 21D0920587

Seton Medical Group Ellicott City · Ellicott City, MD
Active · expires Oct 3, 2026
CLIA Number21D0920587
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorKathleen York-Jordan MD
Laboratory Phone(410) 465-8119
Laboratory LocationSeton Medical Group Ellicott City2850 North Ridge Road Suite 103, Ellicott City, MD 21043
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

ELLICOTT CITY AMBULATORY SURGERY CENTER, LLLP
Clinic/Center (Ambulatory Surgical)
2850 NORTH RIDGE ROAD
ELLICOTT CITY, MD 21043
Howard County (410) 461-1600

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 1518787142. 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 Ellicott City.

Where is Seton Medical Group, Inc located?

Seton Medical Group, Inc is located at 2850 North Ridge Road Suite 103, Ellicott City, MD 21043. The listed phone number is (410) 465-8119.

What is Seton Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0920587) is associated with this NPI, valid through October 3, 2026. 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.