MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC (NPI# 1801837786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801837786 |
| Entity Type | Organization |
| Organization Name | MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC |
| Other Organization Name | CLINTON FAMILY MEDICAL CENTER |
| Practice Address |
10403 Hospital Drive Suite 103 Clinton MD 20735-3134 |
| Mailing Address |
10403 Hospital Drive Suite G-04 Clinton MD 20735-3134 |
| Practice Telephone | 3018568990 |
| Practice Fax Number | 3018568994 |
| Mailing Telephone | 3018563019 |
| Mailing Fax Number | 3018569370 |
| Enumeration Date | 2006-06-09 |
| 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clinton Family Medical Center | 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 |
| 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 |
| 1992057483 | Medstar Southern Maryland Physicians, LLC | Anesthesiology | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2012-10-08 |
| Street Address |
10403 HOSPITAL DRIVE SUITE 103 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780912022 | Endocrinology Associates of Southern Maryland LLC | Internal Medicine | 10403 Hospital Drive, Suite #g-07, Clinton, MD 20735-1628 | 2009-11-24 |
| 1851473722 | Medical & Surgical Clinics of Southern Maryland Inc | Internal Medicine | 10403 Hospital Drive, Suite G-04, Clinton, MD 20735-3134 | 2006-10-20 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1528538758 | Premier Health Care LLC | Internal Medicine | 8023 Malcolm Rd, Clinton, MD 20735-1717 | 2018-11-30 |
| 1871913970 | Whitney Philamlee | Internal Medicine | 2526 Highway 65 S Ste 202, Clinton, AR 72031-6678 | 2014-04-16 |
| 1275967564 | Total Health Internal Medicine, Pllc | Internal Medicine | 602 Beaman St, Unit 606, Clinton, NC 28328-2604 | 2013-08-22 |
| 1649546995 | Mitesh V Shah | Internal Medicine | 7801 Old Branch Ave Ste 202, Clinton, MD 20735-1642 | 2012-03-30 |
| 1013141621 | Shannon S Swift | Internal Medicine | 175 Volunteer Pkwy, Clinton, AR 72031-8001 | 2009-05-11 |
| 1992964316 | Keyteshia Guy | Internal Medicine | 10403 Hospital Dr Ste 103, Clinton, MD 20735-3149 | 2008-06-02 |
| 1265617088 | Paul Edward Viser | Internal Medicine | 603 Beaman St Ste 401, Clinton, NC 28328-2689 | 2007-12-31 |
| 1912119371 | Nancy Patel | Internal Medicine | 700 Plaza Cir Ste N, Clinton, SC 29325 | 2007-05-05 |
| 1760517692 | Anne Owusu | Internal Medicine | 28373 Hwy 76 E, Clinton, SC 29325-0239 | 2007-02-22 |
| 1255479705 | Saleh Obaisi Md Ltd | Internal Medicine | 505 W Side Sq, Clinton, IL 61727-1661 | 2007-02-04 |
| 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.