Provider Demographics
| NPI: | 1871384032 |
|---|---|
| Name: | MEDSTAR URGENT CARE LLC |
| Entity type: | Organization |
| Organization Name: | MEDSTAR URGENT CARE LLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | VICE PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | STEPHANIE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | SCHNEIDER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 703-558-1403 |
| Mailing Address - Street 1: | 3007 TILDEN ST NW STE 5N |
| Mailing Address - Street 2: | |
| Mailing Address - City: | WASHINGTON |
| Mailing Address - State: | DC |
| Mailing Address - Zip Code: | 20008-3030 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 45870 EAST RUN DR. |
| Practice Address - Street 2: | |
| Practice Address - City: | LEXINGTON PARK |
| Practice Address - State: | MD |
| Practice Address - Zip Code: | 20653 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 855-910-3278 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-05-15 |
| Last Update Date: | 2025-05-16 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care | |
| No | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty |