SOUTHERN MARYLAND HOSPITAL, INC (NPI# 1053500678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053500678 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MARYLAND HOSPITAL, INC |
| Other Organization Name | DEPARTMENT OF PSYCHIATRY |
| Practice Address |
7503 Surratts Road 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 | 2011-11-07 |
| 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 | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 412957100 | 05 | |
| MD | CAREFIRST NCA & MARYLAND | H890, 0002 | 01 |
| Other Name | Type Code |
|---|---|
| Department of Psychiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629225735 | Southern Maryland Hospital, Inc | Internal Medicine | 7503 Surratts Road, Clinton, MD 20735-3358 | 2008-08-20 |
| 1598931933 | Southern Maryland Hospital, Inc | Internal Medicine | 7503 Surratts Road, Clinton, MD 20735-3358 | 2008-05-06 |
| 1225206675 | Southern Maryland Hospital, Inc | Anesthesiology | 7503 Surratts Road, Clinton, MD 20735-3358 | 2008-02-19 |
| 1316136930 | Southern Maryland Hospital, Inc | Internal Medicine | 7503 Surratts Road, Clinton, MD 20735-3358 | 2007-10-19 |
| 1508055120 | Southern Maryland Hospital, Inc | Internal Medicine | 7503 Surratts Road, Clinton, MD 20735-3358 | 2007-10-19 |
| 1861681488 | Southern Maryland Hospital, Inc | Psychiatry & Neurology | 7503 Surratts Road, Clinton, MD 20735-3358 | 2007-10-19 |
| 1114928256 | Southern Maryland Hospital, Inc | Emergency Medicine | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2005-08-10 |
| Street Address |
7503 SURRATTS ROAD |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659371680 | Laboratory Diagnostics Inc | Pathology | 7503 Surratts Road, Clinton, MD 20735-3358 | 2005-08-01 |
| 1124480066 | Usha S Parker | Nurse Anesthetist, Certified Registered | 7503 Surratts Road, Clinton, MD 20735 | 2016-03-21 |
| 1578996526 | Sophie Rachael Shpritz | Physician Assistant | 7503 Surratts Road, Clinton, MD 20735 | 2013-08-14 |
| 1427389774 | Ernestine Augusta Kaloko | Nurse Anesthetist, Certified Registered | 7503 Surratts Road, Clinton, MD 20735-3395 | 2010-01-27 |
| 1629225735 | Southern Maryland Hospital, Inc | Internal Medicine | 7503 Surratts Road, Clinton, MD 20735-3358 | 2008-08-20 |
| 1598931933 | Southern Maryland Hospital, Inc | Internal Medicine | 7503 Surratts Road, Clinton, MD 20735-3358 | 2008-05-06 |
| 1790954329 | Veronica Yvonne Amos | Nurse Anesthetist, Certified Registered | 7503 Surratts Road, Clinton, MD 20735-3395 | 2008-02-28 |
| 1225206675 | Southern Maryland Hospital, Inc | Anesthesiology | 7503 Surratts Road, Clinton, MD 20735-3358 | 2008-02-19 |
| 1316136930 | Southern Maryland Hospital, Inc | Internal Medicine | 7503 Surratts Road, Clinton, MD 20735-3358 | 2007-10-19 |
| 1699964213 | Southern Maryland Hospital, Inc. | Obstetrics & Gynecology | 7503 Surratts Road, Clinton, MD 20735-3358 | 2007-10-19 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1134354244 | Joseph Robert Perry | Psychiatry & Neurology | 11 Post Office Sq, Clinton, CT 06413-2025 | 2009-05-19 |
| 1700035722 | Jennifer Smith | Psychiatry & Neurology | 1 Kirkland Ave Ste 202, Clinton, NY 13323-1426 | 2008-09-15 |
| 1356598668 | Brian Evan Tugana | Psychiatry & Neurology | 600 5th Ave S, Clinton, IA 52732-4618 | 2008-08-19 |
| 1922217199 | Shobhana B Vora | Psychiatry & Neurology | Edna Mahan Correctional Facility, 30 Pittstown Rd, Clinton, NJ 08809 | 2007-05-22 |
| 1801001607 | John J Goodwin Jr. | Psychiatry & Neurology | 30 County Route 513, Clinton, NJ 08809 | 2007-05-14 |
| 1578653838 | Neal M. Borenstein | Psychiatry & Neurology | 2 Fountain St, Clinton, NY 13323-1725 | 2006-10-14 |
| 1043243686 | Winston Jennings Jr. | Psychiatry & Neurology | 306 Beaman St, Clinton, NC 28328-2908 | 2006-07-08 |
| 1588629414 | Thomas Lee Earwood | Psychiatry & Neurology | 1320 19th Ave Nw, Clinton, IA 52732-2752 | 2006-04-20 |
| 1427018613 | Maxie Lerone Gordon | Psychiatry & Neurology | 590 Springridge Rd, Clinton, MS 39056-5606 | 2006-03-23 |
| 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.