| Direct Urgent Care Llc | |
|
6133 Shady Side Rd Shady Side MD 20764-9504 | |
| (410) 741-2000 | |
| (410) 867-0171 |
| Full Name | Direct Urgent Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6133 Shady Side Rd, Shady Side, Maryland |
| Authorized Official Name and Position | Frank Joseph Ditraglia (OWNER) |
| Authorized Official Contact | 4439951267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Urgent Care Llc 4926 Sudley Rd West River MD 20778-9714 Ph: (443) 995-1267 | Direct Urgent Care Llc 6133 Shady Side Rd Shady Side MD 20764-9504 Ph: (410) 741-2000 |
| NPI Number | 1487389417 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 1254715766 |
|---|---|
| Medicare Enrollment ID | O20220901002092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487389417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Frank Ditraglia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568459360 PECOS PAC ID: 3072509348 Enrollment ID: I20200317000005 |
Lula G. Scott Community Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6243 Shady Side Rd, Shady Side, MD 20764 Phone: 410-222-7254 |