MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC (NPI# 1497790398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497790398 |
| Entity Type | Organization |
| Organization Name | MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC |
| Other Organization Name | CLINTON ENT |
| Practice Address |
10401 Hospital Drive Suite G-4 Clinton MD 20735-3134 |
| Mailing Address |
10403 Hospital Drive Suite G-04 Clinton MD 20735-3134 |
| Practice Telephone | 3018770891 |
| Practice Fax Number | 3018560536 |
| Mailing Telephone | 3018563019 |
| Mailing Fax Number | 3018569370 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2013-03-15 |
| Authorized Official Name | JANE RAYMOND (VICE PRESIDENT) |
| Authorized Official Telephone | 3018563019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clinton ENT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982753877 | Medstar Southern Maryland Physicians, LLC | Pediatrics | 10 Saint Patricks Drive, Suite 105, Waldorf, MD 20603-4519 | 2007-01-09 |
| 1780629683 | Medstar Southern Maryland Physicians, LLC | Family Medicine | 10 St Patricks Drive, Suite 203, Waldorf, MD 20603-4527 | 2006-06-17 |
| 1427093343 | Medstar Southern Maryland Physicians, LLC | Family Medicine | 6409 South Crain Highway, Route 301, Upper Marlboro, MD 20772 | 2006-06-17 |
| 1174568091 | Medstar Southern Maryland Physicians, LLC | Family Medicine | 900 East Swan Creek Road, Fort Washington, MD 20744 | 2006-06-17 |
| 1801837786 | Medstar Southern Maryland Physicians, LLC | Internal Medicine | 10403 Hospital Drive, Suite 103, Clinton, MD 20735-3134 | 2006-06-09 |
| 1063880599 | Medstar Southern Maryland Physicians, LLC | Surgery | 7501 Surratts Rd, Suite 208, Clinton, MD 20735-3362 | 2015-09-15 |
| 1316340201 | Medstar Southern Maryland Physicians, LLC | Obstetrics & Gynecology | 11340 Pembrooke Sq, Suite 203, Waldorf, MD 20603-4808 | 2014-10-06 |
| 1871903054 | Medstar Southern Maryland Physicians, LLC | Surgery | 7501 Surratts Rd, Suite 305, Clinton, MD 20735-3362 | 2014-04-28 |
| 1720322134 | Medstar Southern Maryland Physicians, LLC | Internal Medicine | 10 Saint Patricks Dr, Suite 203, Waldorf, MD 20603-4527 | 2012-11-26 |
| 1184977142 | Medstar Southern Maryland Physicians, LLC | Anesthesiology | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2012-10-16 |
| Street Address |
10401 HOSPITAL DRIVE SUITE G-4 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427091412 | Guy W. Gargour, M.d., P.a. | Neurological Surgery | 10401 Hospital Drive, Suite 101, Clinton, MD 20735-3150 | 2006-06-14 |
| 1205324225 | Min-obgyn of Maryland PC | Obstetrics & Gynecology | 10401 Hospital Drive, Suite 103, Clinton, MD 20735 | 2018-04-25 |
| 1316090855 | Ebenezer Nettey | Obstetrics & Gynecology | 10401 Hospital Drive, Suite 103, Clinton, MD 20735 | 2007-01-19 |
| 1841351772 | Francis De Graft Dickson | Obstetrics & Gynecology | 10401 Hospital Drive, Suite 103, Clinton, MD 20735 | 2006-12-13 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699921411 | George E. Urban, Jr Md Pa | Otolaryngology | 9131 Piscataway Rd, Suite 410, Clinton, MD 20735-2508 | 2008-08-12 |
| 1275689945 | Norman A Lester | Otolaryngology | 10401 Hospital Dr, Suite G-4, Clinton, MD 20735-3110 | 2007-01-26 |
| 1053320978 | Cody's Limited, PC | Otolaryngology | 425 S 2nd St, Clinton, IA 52732-4212 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194219899 | Hearing and Balance Centers of The Chesapeake LLC | Otolaryngology | 4000 Mitchellville Rd Ste A410, Bowie, MD 20716-3141 | 2018-06-18 |
| 1023539632 | Ent Allergy and Asthma Center PC | Otolaryngology | 11119 Rockville Pike Ste 207, North Bethesda, MD 20852-3143 | 2017-07-05 |
| 1770945917 | Michelle S Hwang | Otolaryngology | 600 N Caroline St, 6th Floor, Baltimore, MD 21205-1839 | 2016-03-27 |
| 1962817098 | Sunny Joseph Haft | Otolaryngology | James T. Frenkil Bldg, 16 S Eutaw Street, Suite 500, Baltimore, MD 21201-9000 | 2014-06-27 |
| 1790195485 | Total Ent Care LLC | Otolaryngology | 3333 N Calvert St Ste 680, Baltimore, MD 21218-6517 | 2014-05-02 |
| 1700206869 | Joseph Choi Park | Otolaryngology | 601 N Caroline St # Street6, Baltimore, MD 21287-0006 | 2014-04-16 |
| 1689091522 | Omar Gasudraz Ahmed | Otolaryngology | 601 N Caroline St Ste 6011, Baltimore, MD 21287-0006 | 2014-03-27 |
| 1871936112 | Deepa J Galaiya | Otolaryngology | 601 N Caroline St Ste 6, Baltimore, MD 21287-0006 | 2013-04-16 |
| 1225392558 | Nicholas Ray Rowan | Otolaryngology | 601 N Caroline St Ste 6161, Baltimore, MD 21287-0006 | 2012-07-02 |
| 1598034183 | Edward John Drawbaugh | Otolaryngology | 19004 Cherry Tree Dr, Hagerstown, MD 21742-2633 | 2011-12-28 |
| Find all providers with the same taxonomy | ||||
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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.