ATLANTIC GENERAL HOSPITAL CORPORATION – NPI #1093533788
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

ATLANTIC GENERAL HOSPITAL CORPORATION is a provider located in BERLIN, MD. NPPES has assigned the NPI number 1093533788 to ATLANTIC GENERAL HOSPITAL CORPORATION on October 01, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was last updated on May 30, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATLANTIC GENERAL HOSPITAL CORPORATION below.

NPI Profile for
ATLANTIC GENERAL HOSPITAL CORPORATION

NPI Number
1093533788
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATLANTIC GENERAL HOSPITAL CORPORATION
Primary location
9707 HEALTHWAY DR
BERLIN, MD 21811-3500
Phone: (410) 629-6888 Fax:
Mailing address
9733 HEALTHWAY DR
BERLIN, MD 21811-1156
Phone: (410) 641-1100 Fax:
Organization Subpart
Yes - ATLANTIC GENERAL HOSPITAL CORPORATION is subpart of another organization.
Authorized Official
STEPHANIE GARY
SVP, FINANCE/CFO OF TIDALHEALTH
Phone: (410) 912-6059
Updated
Certification Date
May 22, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
207RX0202X
- Internal Medicine / Medical Oncology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.