Provider Demographics
NPI:1487389417
Name:DIRECT URGENT CARE LLC
Entity type:Organization
Organization Name:DIRECT URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DITRAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-995-1267
Mailing Address - Street 1:4926 SUDLEY RD
Mailing Address - Street 2:
Mailing Address - City:WEST RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:20778-9714
Mailing Address - Country:US
Mailing Address - Phone:443-995-1267
Mailing Address - Fax:443-607-5299
Practice Address - Street 1:6133 SHADY SIDE RD
Practice Address - Street 2:
Practice Address - City:SHADY SIDE
Practice Address - State:MD
Practice Address - Zip Code:20764-9504
Practice Address - Country:US
Practice Address - Phone:410-741-2000
Practice Address - Fax:410-867-0171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-22
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty