SOUTHERN MARYLAND HOSPITAL, INC (NPI# 1316136930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316136930 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MARYLAND HOSPITAL, INC |
| Other Organization Name | DEPARTMENT OF CARDIOLOGY |
| 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 | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 410571100 | 05 | |
| MD | CAREFIRST NCA & MARYLAND GROUP NUMBERS | 9239, LR78SO | 01 |
| Other Name | Type Code |
|---|---|
| Department of Cardiology | 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 |
| 1508055120 | Southern Maryland Hospital, Inc | Internal Medicine | 7503 Surratts Road, Clinton, MD 20735-3358 | 2007-10-19 |
| 1053500678 | Southern Maryland Hospital, Inc | Psychiatry & Neurology | 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 |
| 1699964213 | Southern Maryland Hospital, Inc. | Obstetrics & Gynecology | 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 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1730137688 | John P. Hakim | Internal Medicine | 7700 Old Branch Ave Ste E105, Clinton, MD 20735-1628 | 2006-05-04 |
| 1114983582 | Muhammad Ashraf | Internal Medicine | 7512 Surratts Rd, Clinton, MD 20735-3353 | 2006-04-25 |
| 1265406037 | Robert John Kastner | Internal Medicine | 603 Beaman St Ste 501, Clinton, NC 28328-2691 | 2006-02-16 |
| 1538147137 | Gurbux H Nachnani | Internal Medicine | 8926 Woodyard Road, Suite 601, Clinton, MD 20735 | 2006-01-04 |
| 1447241872 | Srinivas Addala | Internal Medicine | 9135 Piscataway Rd Ste 210, Clinton, MD 20735-2542 | 2005-11-03 |
| 1356739098 | John P. Hakim, Md and Associates | Internal Medicine | 7700 Old Branch Ave, Suite E105, Clinton, MD 20735-1628 | 2015-01-05 |
| 1265852750 | Anne Arundel Physician Group, LLC | Internal Medicine | 9135 Piscataway Rd, Suite 210, Clinton, MD 20735-2549 | 2014-04-23 |
| 1538472584 | Chesapeake Cardiovascular Specialists PC | Internal Medicine | 7501 Surratts Rd, Suite 208 A, Clinton, MD 20735-3362 | 2010-07-20 |
| 1891902268 | Raj & Pushma Samtani Mdpc | Internal Medicine | 9131 Piscataway Rd, 280, Clinton, MD 20735-2508 | 2007-05-16 |
| 1497704027 | Addala Patel and Associates PC | Internal Medicine | 9135 Piscataway Rd, Suite 210, Clinton, MD 20735-2549 | 2006-05-10 |
| 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.