SOUTHERN MARYLAND HOSPITAL, INC. (NPI# 1407045024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407045024 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MARYLAND HOSPITAL, INC. |
| Other Organization Name | DEPARTMENT OF PEDIATRICS |
| Practice Address |
7503 Surratts Rd Clinton MD 20735-3358 |
| Practice Telephone | 3018707001 |
| Practice Fax Number | 3018706697 |
| Mailing Telephone | 3018707001 |
| Mailing Fax Number | 3018706697 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2009-01-12 |
| Authorized Official Name | MR. CHARLES R. STEWART (CFO) |
| Authorized Official Telephone | 3018774541 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHERN MARYLAND HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST NCA & MARYLAND | 4897, CG1279 | 01 |
| MD | 413384600 | 05 |
| Other Name | Type Code |
|---|---|
| Department of Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619123957 | Southern Maryland Hospital, Inc. | Surgery | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2008-08-18 |
| 1578745444 | Southern Maryland Hospital, Inc. | Internal Medicine | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2007-12-03 |
| 1689863201 | Southern Maryland Hospital, Inc. | Anesthesiology | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2007-10-19 |
| 1699964213 | Southern Maryland Hospital, Inc. | Obstetrics & Gynecology | 7503 Surratts Road, Clinton, MD 20735-3358 | 2007-10-19 |
| 1770772394 | Southern Maryland Hospital, Inc. | Physical Medicine & Rehabilitation | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2007-10-19 |
| 1396787347 | Southern Maryland Hospital, Inc. | General Acute Care Hospital | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2006-06-12 |
| Street Address |
7503 SURRATTS RD |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881695807 | Southern Maryland Intensive Care, Inc. | Specialist | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2005-08-02 |
| 1154937829 | Medstar Medical Group II LLC | Health Educator | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-09-18 |
| 1720693732 | Kudi S Njembu | Nurse Practitioner | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-09-15 |
| 1831716760 | Chantal Tuell | Health Educator | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-06-26 |
| 1164049029 | Susan Jane Hicks | Health Educator | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-06-26 |
| 1790311009 | Mariam Yaktieen | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-03-18 |
| 1518592559 | Dana Hinesly | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-03-10 |
| 1528606845 | Chigozie Ndugba | Registered Nurse | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2019-12-17 |
| 1336784222 | Iris Chung | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2019-11-14 |
| 1740787191 | Faramade O Eruanga | Family Medicine | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2018-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811307010 | Nermeen Nadeem Baseer | Pediatrics | 1477 N 2000 W Ste C, Clinton, UT 84015-9099 | 2014-04-28 |
| 1881945475 | Lighthouse Pediatric & After Hours Clinic, Pa | Pediatrics | 501 Springridge Rd, Clinton, MS 39056-5633 | 2012-09-24 |
| 1700146909 | Jessica Hutchison Crowe | Pediatrics | 2130 N Charles Seivers Boulevard, Suite 4, Clinton, TN 37716-6705 | 2012-05-22 |
| 1932466257 | Ashley Jane Jenkins | Pediatrics | 500 Plaza Cir Ste J, Clinton, SC 29325-7559 | 2012-04-12 |
| 1154633535 | Ejeehi Umobuarie | Pediatrics | 341 S 28th St, Clinton, OK 73601-3701 | 2010-07-13 |
| 1811083785 | Louisa Emefa Lawson | Pediatrics | 210 Clinton Blvd, Clinton, MS 39056-5126 | 2006-10-05 |
| 1902917206 | Jennifer K. Myers | Pediatrics | 539c Highway 80 W, Clinton, MS 39056-4193 | 2006-08-31 |
| 1447262878 | Christina Kay Neeley | Pediatrics | 500 Plaza Cir, Suite J, Clinton, SC 29325-7559 | 2006-08-13 |
| 1235166489 | Krishna Patel | Pediatrics | 40 Pittstown Road, Hunterdon Developmental Center, Clinton, NJ 08809-4008 | 2006-06-26 |
| 1083652630 | Piedmont Pediatrics of Laurens | Pediatrics | 996 Medical Ridge Road, Clinton, SC 29325 | 2006-06-04 |
| Find all providers in CLINTON | ||||
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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.