ST. MARY'S MEDICAL ASSOCIATES, LLC (NPI# 1477611689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477611689 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S MEDICAL ASSOCIATES, LLC |
| Practice Address |
41680 Miss Bessie Dr Leonardtown MD 20650-2906 |
| Practice Telephone | 3019970055 |
| Mailing Telephone | 3019970055 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-04-18 |
| Authorized Official Name | JENNFER HAYDEN BOYD (PRACTICE MANAGER) |
| Authorized Official Telephone | 3018623721 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
41680 MISS BESSIE DR |
| City | LEONARDTOWN |
| State | MD |
| Zip Code | 20650-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477540342 | Jennifer Lynn Roman | Physical Therapist | 41680 Miss Bessie Dr, Suite 103, Leonardtown, MD 20650-2963 | 2005-10-05 |
| 1467925669 | Tiffany Wilson | Registered Nurse | 41680 Miss Bessie Dr, Leonardtown, MD 20650-2906 | 2019-01-10 |
| 1609353481 | Katherine Lynn Vachalek | Nurse Practitioner | 41680 Miss Bessie Dr, Leonardtown, MD 20650-2906 | 2018-07-24 |
| 1184156473 | Margaret Harsany Williams | Physical Therapist | 41680 Miss Bessie Dr, Suite 103, Leonardtown, MD 20650-2906 | 2017-03-28 |
| 1831630607 | Elizabeth Lee Cavanagh | Physical Therapy Assistant | 41680 Miss Bessie Dr, Suite 103, Leonardtown, MD 20650-2906 | 2017-03-14 |
| 1871032342 | Eva Thompson | Nurse Practitioner | 41680 Miss Bessie Dr, Ste 102, Leonardtown, MD 20650-2906 | 2017-02-16 |
| 1831633064 | Dana Marie Nichols | Physical Therapy Assistant | 41680 Miss Bessie Dr, Suite 103, Leonardtown, MD 20650-2906 | 2016-12-07 |
| 1356701593 | Ashley Dearstine | Nurse Practitioner | 41680 Miss Bessie Dr, Suite 301, Leonardtown, MD 20650-2906 | 2016-03-01 |
| 1922463413 | Mallory Alves | Nurse Practitioner | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2906 | 2015-12-28 |
| 1821464173 | Heather Marie Jarrett | Physical Therapy Assistant | 41680 Miss Bessie Dr, Suite 103, Leonardtown, MD 20650-2906 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831665819 | Delahay Healthcare Services LLC | Home Health Aide | 40001 Stillwater Ln, Leonardtown, MD 20650 | 2018-10-17 |
| 1891241519 | Aaron Dailey | Pharmacist | 40955 Merchant Lane, Leonardtown, MD 20650 | 2016-09-01 |
| 1720483936 | Joy Jay, Inc | Dentist | 41630 Courthouse Dr., Leonardtown, MD 20650 | 2014-10-30 |
| 1497092605 | Deborah Ann Duley | Social Worker | 41660 Courthouse Drive, Suite 201c, Leonardtown, MD 20650 | 2013-01-08 |
| 1962757104 | Sense-ability, LLC | Occupational Therapy Assistant | 41680 Miss Bessie Dr Ste 103, Leonardtown, MD 20650 | 2012-07-13 |
| 1578876264 | Belitehorizonmedicalcenter | Psychiatry & Neurology | 26825 Pointlook Out Road, Stee, Leonardtown, MD 20650 | 2010-07-22 |
| 1043544497 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 41680 Courthouse Dr, Leonardtown, MD 20650 | 2009-10-01 |
| 1487892899 | Valentina Savel | Nurse Anesthetist, Certified Registered | 25500 Pt Lookout Rd, Leonardtown, MD 20650 | 2009-01-23 |
| 1174786362 | Henry Todd Allen | Dentist | 22690 Washington Street, Leonardtown, MD 20650 | 2008-07-08 |
| 1487813192 | St Mar's County Dept of Human Services | Public Health or Welfare | 23115 Leonard Hall Drive, Department of Human Services, Leonardtown, MD 20650 | 2008-06-06 |
| Find all providers in zip 20650 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285012468 | Lauren Marie Perz | Family Medicine | 23511 Hollywood Rd Ste 2, Leonardtown, MD 20650-5833 | 2015-05-08 |
| 1366429011 | Maria Lisa O'brien | Family Medicine | 41680 Miss Bessie Dr Ste 301, Leonardtown, MD 20650-2965 | 2005-12-23 |
| 1982680641 | St. Clements Medical Care, LLC | Family Medicine | 23130 Moakley St, Leonardtown, MD 20650-2918 | 2005-12-15 |
| 1841511268 | Helixcare Medical Group, LLC | Family Medicine | 41680 Miss Bessie Dr, Leonardtown, MD 20650-2906 | 2010-06-21 |
| 1497074983 | Cheryl Shaw | Family Medicine | 23511 Hollywood Rd, Leonardtown, MD 20650-5833 | 2010-05-24 |
| 1932428786 | Helixcare Medical Group, LLC | Family Medicine | 23130 Moakley St, Leonardtown, MD 20650-2918 | 2010-05-19 |
| 1679713358 | Chesapeake Family Health Care | Family Medicine | 23130 Moakley St, Leonardtown, MD 20650-2918 | 2009-02-20 |
| 1114189149 | Monika G Lee | Family Medicine | 23130 Moakley St, Leonardtown, MD 20650-2918 | 2008-07-01 |
| 1063697936 | Meenakshi Garg Brewster | Family Medicine | 21580 Peabody Street, Leonardtown, MD 20650 | 2008-01-09 |
| 1013115666 | Shah Associates Md LLC | Family Medicine | 26840 Point Lookout Rd, Shanti Medical Center, Leonardtown, MD 20650 | 2007-07-05 |
| Find all providers in LEONARDTOWN | ||||
| City | LEONARDTOWN |
| Zip Code | 20650 |
Please comment or provide details below to improve the information on ST. MARY'S MEDICAL ASSOCIATES, LLC.
| 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.