CALVERTHEALTH MEDICAL CENTER, INC. (NPI# 1588808935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588808935 |
| Entity Type | Organization |
| Organization Name | CALVERTHEALTH MEDICAL CENTER, INC. |
| Other Organization Name | CALVERTHEALTH SOLOMONS IMAGING CENTER |
| Practice Address |
14090 Hg Trueman Rd Ste 1400 Solomons MD 20688-3151 |
| Mailing Address |
100 Hospital Rd Prince Frederick MD 20678-4017 |
| Practice Telephone | 4103942830 |
| Practice Fax Number | 4103942835 |
| Mailing Telephone | 4103942830 |
| Mailing Fax Number | 4103942835 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | DEAN TEAGUE (PRESIDENT/CEO) |
| Authorized Official Telephone | 4105358239 |
| Is Organization Subpart | Y |
| Parent Organization Name | CALVERT HEALTH SYSTEMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
261QR0200X | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 621307300 | 05 |
| Other Name | Type Code |
|---|---|
| CalvertHealth Solomons Imaging Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942657051 | Calverthealth Medical Center, Inc. | Occupational Therapy Assistant | 14090 Hg Trueman Rd, Suite 1500, Solomons, MD 20688-3151 | 2016-05-18 |
| 1558718668 | Calverthealth Medical Center, Inc. | Occupational Therapy Assistant | 130 Hospital Rd, Suite 103, Prince Frederick, MD 20678-4015 | 2016-05-18 |
| 1578910683 | Calverthealth Medical Center, Inc. | Occupational Therapy Assistant | 10845 Town Center Blvd, Suite 100, Dunkirk, MD 20754-2712 | 2016-05-18 |
| 1598195299 | Calverthealth Medical Center, Inc. | Clinic/Center | 130 Hospital Rd, Suite 102, Prince Frederick, MD 20678-4015 | 2013-11-15 |
| 1407283302 | Calverthealth Medical Center, Inc. | Clinic/Center | 85 Hospital Rd, Prince Frederick, MD 20678-4018 | 2013-10-09 |
| 1659550994 | Calverthealth Medical Center, Inc. | Clinic/Center | 29449 Charlotte Hall Rd, Charlotte Hall, MD 20622-3042 | 2007-11-02 |
| 1245387208 | Calverthealth Medical Center, Inc. | Clinic/Center | 14090 Hg Trueman Rd, Suite1300, Solomons, MD 20688-3151 | 2007-01-04 |
| 1578620779 | Calverthealth Medical Center, Inc. | Clinic/Center | 10845 Town Center Blvd, Suite 108, Dunkirk, MD 20754-2712 | 2007-01-03 |
| 1457389298 | Calverthealth Medical Center, Inc. | General Acute Care Hospital | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2006-06-29 |
| Street Address |
14090 HG TRUEMAN RD STE 1400 |
| City | SOLOMONS |
| State | MD |
| Zip Code | 20688-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235245820 | Patricia Gurny | Internal Medicine | 14090 Hg Trueman Rd, Suite 2300, Solomons, MD 20688-3151 | 2006-08-23 |
| 1619449410 | Kyle J Clover | Physician Assistant | 14090 Hg Trueman Rd, Solomons, MD 20688-3151 | 2018-12-19 |
| 1942657051 | Calverthealth Medical Center, Inc. | Occupational Therapy Assistant | 14090 Hg Trueman Rd, Suite 1500, Solomons, MD 20688-3151 | 2016-05-18 |
| 1366848947 | Freedom Hearing Center LLC | Audiologist | 14090 Hg Trueman Rd, Suite 1400, Solomons, MD 20688-3151 | 2014-11-10 |
| 1497192751 | Keyonna Nickara Proctor | Family Medicine | 14090 Hg Trueman Rd, Suite 2100, Solomons, MD 20688-3151 | 2013-05-28 |
| 1609115450 | Capital Foot and Ankle Care Centre, Pa | Podiatrist | 14090 Hg Trueman Rd, Ste. 1200, Solomons, MD 20688-3151 | 2013-02-13 |
| 1548579642 | Kendall Nicholas Defreitas | Family Medicine | 14090 Hg Trueman Rd, Suite 2100, Solomons, MD 20688-3151 | 2010-10-07 |
| 1235314436 | Kenneth S Villar | Family Medicine | 14090 Hg Trueman Rd, Suite 2100, Solomons, MD 20688 | 2008-01-07 |
| 1245387208 | Calverthealth Medical Center, Inc. | Clinic/Center | 14090 Hg Trueman Rd, Suite1300, Solomons, MD 20688-3151 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740754001 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 14090 Hg Trueman Rd Ste 1100, Solomons, MD 20688 | 2019-01-18 |
| 1568982981 | Jordan Clinton King | Chiropractor | 14350 Solomos Island Road, Suite #103a, Solomons, MD 20688 | 2017-06-27 |
| 1770027260 | Southern Maryland Myofascial Release, Inc. | Physical Therapist | 90 Holiday Drive, Suite C and D1, Solomons, MD 20688 | 2016-12-19 |
| 1003262171 | Bernice Burroughs | Massage Therapist | 90 Holiday Drive, Suite D3, Solomons, MD 20688 | 2016-05-09 |
| 1780001982 | Kathleen Arban | Social Worker | 14350 Solomons Island Rd. Suite 202, Solomons, MD 20688 | 2014-03-25 |
| 1902175599 | Anne Dennen Etzkorn | Dentist | 14532 Solomons Island Rd, Solomons, MD 20688 | 2011-12-28 |
| 1851532204 | L. Steven Berns, Lcsw-c, Ltd | Social Worker | The Avondale Center, Suite 1244, Solomons, MD 20688 | 2009-03-16 |
| 1285879759 | Joyce Gradle | Counselor | 14350 Solomons Island Rd., Solomons, MD 20688 | 2008-12-11 |
| 1356510713 | The Training Room Inc | Durable Medical Equipment & Medical Supplies | 14090 H G Trueman Rd, Solomons, MD 20688 | 2008-02-29 |
| 1194923011 | Shah Associates Md LLC | Internal Medicine | 14090 H G Trueman Rd, Ste, Solomons Medical Center, Solomons, MD 20688 | 2007-07-03 |
| Find all providers in zip 20688 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1659899763 | Shore Health System, Inc | Clinic/Center | 1140 Blades Farm Road, Ste 102, Denton, MD 21629-3459 | 2017-09-08 |
| 1013323799 | Chesapeake Radiology of Bel Air | Clinic/Center | 2108 Emmorton Rd, Suite 8, Bel Air, MD 21015-6800 | 2014-07-02 |
| 1750688453 | First Imaging Center Inc | Clinic/Center | 8860 Columbia 100 Pkwy Suite 10, Columbia, MD 21045-2195 | 2011-02-16 |
| 1710088075 | Metropolitan Radiology Associates Chartered | Clinic/Center | 3327 Superior Lane, Suite 103, Bowie, MD 20715 | 2006-09-26 |
| 1518075753 | American Diagnostic Medicine | Clinic/Center | 7235 Hanover Pkwy, Suite A & B, Greenbelt, MD 20770-3601 | 2006-08-28 |
| 1427071604 | Affiliated Pet Systems LLC | Clinic/Center | 1400 Forest Glen Rd Ste 430, Silver Spring, MD 20910-1464 | 2006-07-26 |
| 1447283536 | Vymed Diagnostic Imamaging/salisbury LLC | Clinic/Center | 200 B East Vine Street, Salisbury, MD 21804 | 2006-07-09 |
| 1598702870 | Open Mri & Imaging Center of Elkton,llc | Clinic/Center | 301 Augustine Herman Hwy, Ste A, Elkton, MD 21921-6587 | 2006-06-02 |
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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.