SOUTHERN MARYLAND ENDOSCOPY CENTER ANESTHESIA (NPI# 1750775268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750775268 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MARYLAND ENDOSCOPY CENTER ANESTHESIA |
| Practice Address |
7700 Old Branch Ave Suite A103 Clinton MD 20735-1628 |
| Practice Telephone | 3018774140 |
| Mailing Telephone | 3018774140 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-07-02 |
| Authorized Official Name | DR. JAMES S CHESLEY JR. (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3018774140 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
207RG0100X | MD | Allopathic & Osteopathic Physicians |
| Street Address |
7700 OLD BRANCH AVE SUITE A103 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468841 | Philip L Briley | Psychologist | 7700 Old Branch Ave, Ste B105, Clinton, MD 20735-1628 | 2005-06-22 |
| 1003264243 | Mind Over Matter Health Services | Community/Behavioral Health | 7700 Old Branch Ave, B204, Clinton, MD 20735-1628 | 2016-05-27 |
| 1982050472 | Hagar Healthcare | Occupational Therapist | 7700 Old Branch Ave, Suite E 208, Clinton, MD 20735-1628 | 2016-05-13 |
| 1164889390 | Gregory Beacham II | Massage Therapist | 7700 Old Branch Ave, Clinton, MD 20735-1628 | 2016-01-19 |
| 1013389121 | Brittany Deloatch | Counselor | 7700 Old Branch Ave, D103, Clinton, MD 20735-1628 | 2015-10-28 |
| 1356739098 | John P. Hakim, Md and Associates | Internal Medicine | 7700 Old Branch Ave, Suite E105, Clinton, MD 20735-1628 | 2015-01-05 |
| 1528466190 | Petra Patterson | Nursing Home Administrator | 7700 Old Branch Ave, Clinton, MD 20735-1628 | 2014-12-15 |
| 1427455088 | Deanna Sharpe | Nurse Practitioner | 7700 Old Branch Ave, D203, Clinton, MD 20735-1628 | 2014-11-25 |
| 1760889497 | Floss Family Dentistry, LLCs | Dentist | 7700 Old Branch Ave, D105, Clinton, MD 20735-1628 | 2014-11-24 |
| 1013313220 | Affinity Home Care LLC | Hospice Care, Community Based | 7700 Old Branch Ave, Clinton, MD 20735-1628 | 2014-11-16 |
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| 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 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750709333 | Alireza Meighani | Internal Medicine | 7501 Surratts Rd Ste 206, Clinton, MD 20735-3373 | 2014-04-01 |
| 1790850667 | Chandrakant K Bhatia | Internal Medicine | 9131 Piscataway Rd, Suite 610, Clinton, MD 20735-2508 | 2006-11-23 |
| 1821006024 | James S Chesley Jr. | Internal Medicine | 7700 Old Branch Ave, Suite B101, Clinton, MD 20735-1628 | 2006-08-03 |
| 1265412803 | Ahmed Elahmady | Internal Medicine | 2745 Lincoln Way, Clinton, IA 52732-7201 | 2006-01-19 |
| 1508854589 | Mohammed Irshad | Internal Medicine | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160984 | Lifebridge Community Physicians Inc | Internal Medicine | 8875 Centre Park Dr Ste D, Columbia, MD 21045-2382 | 2020-09-29 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1093354698 | Urooj Ahmed | Internal Medicine | 11110 Medical Campus Rd Ste 250, Hagerstown, MD 21742-6756 | 2019-12-30 |
| 1588155733 | Maryland Inpatient Specialist LLC | Internal Medicine | 10110 Molecular Dr Ste 109, Rockville, MD 20850-7538 | 2018-05-23 |
| 1689912677 | Donald Edward Wilson | Internal Medicine | 20 Penn St, Baltimore, MD 21201-1075 | 2013-01-25 |
| 1124374418 | Ruhail Kohli | Internal Medicine | 4940 Eastern Ave Fl 5, Baltimore, MD 21224 | 2012-07-24 |
| 1922364959 | Huimin Yu | Internal Medicine | 600 N Wolfe St Bldg 9, Baltimore, MD 21287-0005 | 2012-04-04 |
| 1700175635 | David Stuart Jencks | Internal Medicine | 820 Bestgate Rd Ste 2a, Annapolis, MD 21401 | 2011-03-31 |
| 1134438575 | Boo Keun Kim, Md, Pa | Internal Medicine | 8921 Shady Grove Court, Gaithersburg, MD 20877-1308 | 2010-10-04 |
| 1053630285 | Kasra Adham | Internal Medicine | 4467 Old Branch Ave Ste 201, Temple Hills, MD 20748-1854 | 2010-05-27 |
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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.