MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC (NPI# 1760406110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760406110 |
| Entity Type | Organization |
| Organization Name | MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC |
| Other Organization Name | SMHC OBGYN SERVICES |
| Practice Address |
7700 Old Branch Ave Suite 104a Clinton MD 20735 |
| Mailing Address |
10403 Hospital Drive Suite G-04 Clinton MD 20735-3134 |
| Practice Telephone | 3018688888 |
| Practice Fax Number | 3018680409 |
| Mailing Telephone | 3018563019 |
| Mailing Fax Number | 3018569370 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2009-11-02 |
| Authorized Official Name | JANE RAYMOND (VICE PRESIDENT) |
| Authorized Official Telephone | 3018563019 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 222101200 | 05 | |
| CAREFIRST NCA/MD | B776 | 01 | |
| CAREFIRST NCA/MD | KR10ME | 01 |
| Other Name | Type Code |
|---|---|
| SMHC OBGYN Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851473722 | Medical & Surgical Clinics of Southern Maryland Inc | Internal Medicine | 10403 Hospital Drive, Suite G-04, Clinton, MD 20735-3134 | 2006-10-20 |
| 1821030156 | Medical & Surgical Clinics of Southern Maryland Inc | Surgery | 7501 Surratts Road, Suite 208b, Clinton, MD 20735-3362 | 2006-06-12 |
| Street Address |
7700 OLD BRANCH AVE SUITE 104A |
| City | CLINTON |
| State | MD |
| Zip Code | 20735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468841 | Philip L Briley | Psychologist | 7700 Old Branch Ave, Ste B105, Clinton, MD 20735-1628 | 2005-06-22 |
| 1003264243 | Mind Over Matter Health Services | Community/Behavioral Health | 7700 Old Branch Ave, B204, Clinton, MD 20735-1628 | 2016-05-27 |
| 1982050472 | Hagar Healthcare | Occupational Therapist | 7700 Old Branch Ave, Suite E 208, Clinton, MD 20735-1628 | 2016-05-13 |
| 1164889390 | Gregory Beacham II | Massage Therapist | 7700 Old Branch Ave, Clinton, MD 20735-1628 | 2016-01-19 |
| 1013389121 | Brittany Deloatch | Counselor | 7700 Old Branch Ave, D103, Clinton, MD 20735-1628 | 2015-10-28 |
| 1750775268 | Southern Maryland Endoscopy Center Anesthesia | Internal Medicine | 7700 Old Branch Ave, Suite A103, Clinton, MD 20735-1628 | 2015-03-23 |
| 1356739098 | John P. Hakim, Md and Associates | Internal Medicine | 7700 Old Branch Ave, Suite E105, Clinton, MD 20735-1628 | 2015-01-05 |
| 1528466190 | Petra Patterson | Nursing Home Administrator | 7700 Old Branch Ave, Clinton, MD 20735-1628 | 2014-12-15 |
| 1427455088 | Deanna Sharpe | Nurse Practitioner | 7700 Old Branch Ave, D203, Clinton, MD 20735-1628 | 2014-11-25 |
| 1760889497 | Floss Family Dentistry, LLCs | Dentist | 7700 Old Branch Ave, D105, Clinton, MD 20735-1628 | 2014-11-24 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538182571 | Okechukwu Anthony Ibeanu | Obstetrics & Gynecology | 9135 Piscataway Rd Ste 420, Clinton, MD 20735-2555 | 2006-07-25 |
| 1932164332 | Byron Adams Brown | Obstetrics & Gynecology | 700 Plaza Circle, Ste N, Clinton, SC 29325 | 2006-04-19 |
| 1952360992 | Teresa T Birchard | Obstetrics & Gynecology | 516 Beaman St, Clinton, NC 28328-2602 | 2006-03-20 |
| 1063487601 | Geddis Abel-bey Jr. | Obstetrics & Gynecology | 102 Medical Park Ct, Clinton, SC 29325 | 2006-02-17 |
| 1265422380 | Deborah Bushrod | Obstetrics & Gynecology | 7501 Surratts Rd Ste 207, Clinton, MD 20735 | 2005-10-28 |
| 1154326437 | Steven P Breaux | Obstetrics & Gynecology | 242 N Bluff Blvd, Suite 200, Clinton, IA 52732-7119 | 2005-06-14 |
| 1245626233 | Kelly Brier San Miguel | Obstetrics & Gynecology | 106 Medical Park Ct, Clinton, SC 29325-7537 | 2015-04-07 |
| 1073869772 | Clinton Hmpn, LLC | Obstetrics & Gynecology | 90 N 30th St, Suite 6, Clinton, OK 73601-3101 | 2012-07-31 |
| 1073875829 | Nekia Oriana Barrow | Obstetrics & Gynecology | 7501 Surratts Rd Ste 308, Clinton, MD 20735-3377 | 2012-06-07 |
| 1841580230 | Laurens County Healthcare System Dba Carolina Womens Center | Obstetrics & Gynecology | 102 Medical Park Ct, Clinton, SC 29325-7537 | 2011-04-19 |
| 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.