MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC (NPI# 1184977142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184977142 |
| Entity Type | Organization |
| Organization Name | MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC |
| Practice Address |
7503 Surratts Rd Clinton MD 20735-3358 |
| Practice Telephone | 3018688000 |
| Mailing Telephone | 3018688000 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | DEBORA J KUCHKA-CRAIG (CORPORATE VICE PRESIDENT) |
| Authorized Official Telephone | 4107726827 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| 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 |
| 1992057483 | Medstar Southern Maryland Physicians, LLC | Anesthesiology | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2012-10-08 |
| Street Address |
7503 SURRATTS RD |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881695807 | Southern Maryland Intensive Care, Inc. | Specialist | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2005-08-02 |
| 1154937829 | Medstar Medical Group II LLC | Health Educator | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-09-18 |
| 1720693732 | Kudi S Njembu | Nurse Practitioner | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-09-15 |
| 1831716760 | Chantal Tuell | Health Educator | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-06-26 |
| 1164049029 | Susan Jane Hicks | Health Educator | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-06-26 |
| 1790311009 | Mariam Yaktieen | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-03-18 |
| 1518592559 | Dana Hinesly | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-03-10 |
| 1528606845 | Chigozie Ndugba | Registered Nurse | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2019-12-17 |
| 1336784222 | Iris Chung | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2019-11-14 |
| 1740787191 | Faramade O Eruanga | Family Medicine | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2018-04-11 |
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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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326143330 | Renny Griffith | Anesthesiology | 9001 Woodyard Rd Ste B, Clinton, MD 20735-4264 | 2006-09-14 |
| 1326064619 | Eskander G Morkos | Anesthesiology | 518 Beaman St, Clinton, NC 28328-2602 | 2006-07-14 |
| 1992737027 | Clinton Anesthesia Associates, Pa | Anesthesiology | 410 Inverness Rd, Clinton, NC 28328-3072 | 2006-07-07 |
| 1336125004 | Mark J Leding | Anesthesiology | 1410 N. Street, Clinton, IA 52732 | 2005-12-15 |
| 1821417767 | Eric Ness | Anesthesiology | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2014-04-08 |
| 1124469143 | Greenville Health System | Anesthesiology | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2013-07-08 |
| 1992057483 | Medstar Southern Maryland Physicians, LLC | Anesthesiology | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2012-10-08 |
| 1215223615 | Nathan James Laborde | Anesthesiology | 607 Beaman St, Clinton, NC 28328-2603 | 2011-06-23 |
| 1912224700 | Anquenetta Latosha Douglas | Anesthesiology | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2010-05-03 |
| 1114151198 | Janice Adalia Apple | Anesthesiology | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2009-05-06 |
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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.