MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC (NPI# 1366790693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366790693 |
| Entity Type | Organization |
| Organization Name | MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER INC |
| Other Organization Name | MEDSTAR SOUTHERN MARYLAND HOSPITAL |
| Practice Address |
7503 Surratts Rd Clinton MD 20735-3358 |
| Practice Telephone | 3018688000 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Authorized Official Name | DR. M. JOY DRASS (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4107726707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | Hospital Units | ||
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| MedStar Southern Maryland Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235480096 | Medstar Southern Maryland Hospital Center Inc | Emergency Medicine | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2012-09-19 |
| 1477801421 | Medstar Southern Maryland Hospital Center Inc | Clinical Medical Laboratory | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2012-08-23 |
| 1497003446 | Medstar Southern Maryland Hospital Center Inc | Skilled Nursing Facility | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2012-08-23 |
| 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 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326317538 | Pisipati LLC | General Acute Care Hospital | 550 33rd Ave N, Clinton, IA 52732-1585 | 2011-12-16 |
| 1568918662 | Prisma Health-upstate | General Acute Care Hospital | 22725 Highway 76 E, Medical Office Building 3rd Floor, Clinton, SC 29325-7527 | 2016-08-29 |
| 1245786367 | Prisma Health-upstate | General Acute Care Hospital | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-08-29 |
| 1912372913 | Baptist Physical Therapy and Sportscare | General Acute Care Hospital | 108 Clinton Pkwy, Clinton, MS 39056-4730 | 2015-12-02 |
| 1073912945 | Margaret Ramos | General Acute Care Hospital | 100 N 30th St, Clinton, OK 73601-3117 | 2014-08-17 |
| 1245649912 | Greenville Health System | General Acute Care Hospital | 22725 Highway 76 E, Medical Office Building 3rd Floor, Clinton, SC 29325-7527 | 2014-08-07 |
| 1043650567 | Greenville Health System | General Acute Care Hospital | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2013-06-28 |
| 1295904951 | Sampson Regional Medical Center | General Acute Care Hospital | 607 Beaman St, Clinton, NC 28328-2603 | 2008-02-27 |
| 1326172180 | Southern Maryland Hospital Center Lab | General Acute Care Hospital | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2007-03-15 |
| 1699815159 | Laurens County Health Care System | General Acute Care Hospital | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2007-02-07 |
| 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.