CALVERT INTERNAL MEDICINE GROUP, PA (NPI# 1376936823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376936823 |
| Entity Type | Organization |
| Organization Name | CALVERT INTERNAL MEDICINE GROUP, PA |
| Practice Address |
110 Hospital Rd Suite 310 Prince Frederick MD 20678-4019 |
| Practice Telephone | 4105352005 |
| Mailing Telephone | 4105352005 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |
| Authorized Official Name | PATRICIA A GATES (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4105357068 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R144667 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 HOSPITAL RD SUITE 310 |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841296407 | Mara J Daidone | Otolaryngology | 110 Hospital Rd, Suite 304, Prince Frederick, MD 20678-4019 | 2005-06-28 |
| 1497381586 | Ashly Gray | Nurse Practitioner | 110 Hospital Rd, Prince Frederick, MD 20678-4019 | 2020-03-20 |
| 1619329653 | Sita M Pfalz | Nurse Practitioner | 110 Hospital Rd, Suite 214, Prince Frederick, MD 20678-4019 | 2016-07-01 |
| 1528486255 | Dr. Saleh & Associates,llc | Psychologist | 110 Hospital Rd, 302, Prince Frederick, MD 20678-4019 | 2014-03-31 |
| 1700215431 | Samantha L Keiter | Physician Assistant | 110 Hospital Rd, Suite 310, Prince Frederick, MD 20678-4019 | 2013-11-04 |
| 1245668060 | Soffer Foot and Ankle Care, LLC | Clinic/Center | 110 Hospital Rd, Suite 215, Prince Frederick, MD 20678-4019 | 2013-10-15 |
| 1518303742 | Center for Continence and Pelvic Support PC | Obstetrics & Gynecology | 110 Hospital Rd, Ste 203, Prince Frederick, MD 20678-4019 | 2013-05-15 |
| 1144501008 | Kanayo Ekeada | Pharmacist | 110 Hospital Rd, Suite 100, Prince Frederick, MD 20678-4019 | 2011-09-06 |
| 1528361987 | Mukesh N Mathur,md,pa. | Internal Medicine | 110 Hospital Rd, Suite-305, Prince Frederick, MD 20678-4019 | 2010-12-07 |
| 1750604104 | Saad Abdul Haque | Internal Medicine | 110 Hospital Rd, Suite 210, Prince Frederick, MD 20678-4019 | 2010-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881617587 | Tiffany Gaines | Nurse Practitioner | 985 Prince Frederick Blvd, Suite 201, Prince Frederick, MD 20678-3492 | 2006-07-25 |
| 1982097473 | Elizabeth Anne Bissett | Nurse Practitioner | 985 Prince Frederick Blvd Ste 201, Prince Frederick, MD 20678-3492 | 2015-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401328 | Fese E Bokosah | Nurse Practitioner | 2671 Ricker Pond Ct, Waldorf, MD 20603-2060 | 2020-09-11 |
| 1558975508 | Marlene Joan Margerum | Nurse Practitioner | 6052 Augustine Ave, Elkridge, MD 21075-5351 | 2020-09-06 |
| 1386258929 | Suzette Jones | Nurse Practitioner | Chesapeake Shores Nursing Home, 21412 Great Mills Road, Lexington Park, MD 20653 | 2020-09-01 |
| 1760091003 | Rachel Langley | Nurse Practitioner | 9 Cedar Chip Ct, Parkville, MD 21234-8035 | 2020-07-22 |
| 1679113054 | Clifton Dawson IIi | Nurse Practitioner | 10230 New Hampshire Ave # 340, Silver Spring, MD 20903-1400 | 2020-01-13 |
| 1750920179 | Jecinta Chinyere Ogbennah | Nurse Practitioner | 6629 Aaron Mee Way, Baltimore, MD 21237-4337 | 2020-01-02 |
| 1578114229 | Carolina Delacruz | Nurse Practitioner | 5601 Loch Raven Blvd Bldg Center, Baltimore, MD 21239-2945 | 2019-09-24 |
| 1366096034 | Tammy Fusilier | Nurse Practitioner | 3460 Old Washington Rd Ste 203a, Waldorf, MD 20602-3243 | 2019-07-30 |
| 1649839218 | Lauren Anne Flowers | Nurse Practitioner | 202 Leslie Ave, Nottingham, MD 21236-4217 | 2019-06-07 |
| 1255893061 | Irene W. Njuguna | Nurse Practitioner | 4307 Silver Spring Rd, Perry Hall, MD 21128-9656 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.