SOUTHERN MARYLAND HOSPITAL, INC (NPI# 1861681488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861681488 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MARYLAND HOSPITAL, INC |
| Other Organization Name | DEPARTMENT OF NEUROLOGY |
| 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 | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 410569900 | 05 | |
| MD | CAREFIRST NCA & MARYLAND GROUP NUMBERS | 8308, LR78SO | 01 |
| Other Name | Type Code |
|---|---|
| Department of Neurology | 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 |
| 1316136930 | Southern Maryland Hospital, Inc | Internal Medicine | 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 |
| 1053500678 | 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 |
| 1316136930 | Southern Maryland Hospital, Inc | Internal Medicine | 7503 Surratts Road, Clinton, MD 20735-3358 | 2007-10-19 |
| 1699964213 | Southern Maryland Hospital, Inc. | Obstetrics & Gynecology | 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184955189 | Jennifer L Smith Md Pllc | Psychiatry & Neurology | 1 Kirkland Ave Apt 302, Clinton, NY 13323-1426 | 2010-01-15 |
| 1639788250 | Cep America - Neurology PC | Psychiatry & Neurology | 801 S Main St, Clinton, IN 47842-2261 | 2020-07-29 |
| 1366400327 | Oliver M Ancheta | Psychiatry & Neurology | 915 13th Ave N, Clinton, IA 52732-5067 | 2006-05-01 |
| 1134197221 | Anne E Constantino | Psychiatry & Neurology | 10401 Hospital Dr, Suite 102, Clinton, MD 20735-3110 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777210 | Progressive Neurology LLC | Psychiatry & Neurology | 2405 Whittier Dr Unit 100, Frederick, MD 21702-3361 | 2019-12-20 |
| 1285288241 | Yair Mina | Psychiatry & Neurology | 297 Rollins Ave, Rockville, MD 20852-4018 | 2019-07-29 |
| 1861956930 | Capital Stroke Neurology Inc | Psychiatry & Neurology | 9117 Falls Chapel Way, Potomac, MD 20854-2453 | 2019-01-23 |
| 1013496405 | Riverside Neurology LLC | Psychiatry & Neurology | 560 Riverside Dr Ste B204, Salisbury, MD 21801-4703 | 2018-08-07 |
| 1740726942 | George Oyler | Psychiatry & Neurology | 2924 Guilford Ave, Baltimore, MD 21218-4115 | 2017-01-11 |
| 1265988075 | Rena Diana Sukhdeo Singh | Psychiatry & Neurology | 10 Center Drive Room B15-733, Msc 1063, Bethesda, MD 20892-0001 | 2016-08-31 |
| 1134672918 | Anne Damian Yacoub | Psychiatry & Neurology | 600 N Wolfe St Rm 627, Baltimore, MD 21287-0005 | 2016-07-28 |
| 1689026338 | James Vornov | Psychiatry & Neurology | 3519 Old Court Rd, Pikesville, MD 21208-3124 | 2016-07-06 |
| 1619343092 | Usa Sleep Diagnostic Mobile Services, LLC | Psychiatry & Neurology | 1215 Annapolis Rd Ste 202, Odenton, MD 21113-1349 | 2015-08-19 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| Find all providers with the same taxonomy | ||||
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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.