CREATIVE LIFESTYLES MANAGEMENT PROG (NPI# 1871594846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871594846 |
| Entity Type | Organization |
| Organization Name | CREATIVE LIFESTYLES MANAGEMENT PROG |
| Other Organization Name | ASTHMA/ALLERGY CENTER OF SOUTHERN MARYLAND |
| Practice Address |
7501 Surratts Road Suite 202 Clinton MD 20735-3358 |
| Mailing Address |
7503 Surratts Road Clinton MD 20735-3358 |
| Practice Telephone | 3018774616 |
| Practice Fax Number | 3018774355 |
| Mailing Telephone | 3018707001 |
| Mailing Fax Number | 3018706697 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2011-11-14 |
| Authorized Official Name | MR. MICHAEL J. CHIARAMONTE (PRESIDENT) |
| Authorized Official Telephone | 3018774530 |
| Authorized Official Credential | PRESIDENT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD | Allopathic & Osteopathic Physicians | |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Asthma/Allergy Center of Southern Maryland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447430376 | Creative Lifestyles Management Prog | Internal Medicine | 10 St. Patricks Drive, Suite 101, Waldorf, MD 20603-3500 | 2007-11-08 |
| Street Address |
7501 SURRATTS ROAD SUITE 202 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009968 | Southern Maryland Professional Rad | Specialist | 7501 Surratts Road, Suite 104, Clinton, MD 20735-3362 | 2005-08-01 |
| 1770764490 | Blue Water Physiatry L L C | Physical Medicine & Rehabilitation | 7501 Surratts Road, #202, Clinton, MD 20735-2256 | 2007-11-21 |
| 1821030156 | Medical & Surgical Clinics of Southern Maryland Inc | Surgery | 7501 Surratts Road, Suite 208b, Clinton, MD 20735-3362 | 2006-06-12 |
| 1174504997 | John C Patterson | Internal Medicine | 7501 Surratts Road, Suite 201a, Clinton, MD 20735-3358 | 2005-11-09 |
| 1568463594 | Southern Radiology Mri Partnership | Radiology | 7501 Surratts Road, Suite 104, Clinton, MD 20735-3358 | 2005-08-01 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1598931933 | Southern Maryland Hospital, Inc | Internal Medicine | 7503 Surratts Road, Clinton, MD 20735-3358 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1215577077 | Anne Arundel Physicians Group, LLC | Internal Medicine | 2003 Medical Pkwy Ste 310, Annapolis, MD 21401-7944 | 2020-01-09 |
| 1063890036 | Albert Shan-ching Sun Estate Chen Chih Sun, Per Rep | Internal Medicine | 1200 Temfield Rd., Towson, MD 21286 | 2015-05-11 |
| 1851637276 | Joel Moss | Internal Medicine | Room 6d05 Bldg 10, National Institutes of Health, Bethesda, MD 20892-1590 | 2012-12-13 |
| 1013276591 | Maryland Pulmonary Associates LLC | Internal Medicine | 10307 Fleming Ave, Bethesda, MD 20814-2162 | 2012-05-03 |
| 1407158389 | Victor Hrehorovich | Internal Medicine | 10913 Tony Dr, Lutherville, MD 21093-3618 | 2010-11-26 |
| 1700103231 | Robert Edward Walker | Internal Medicine | 3902 Blackthorn St, Chevy Chase, MD 20815-5056 | 2010-04-23 |
| 1679766950 | Maryland Lung Associates Pa | Internal Medicine | 3449 Wilkens Avenue, Suite 207, Balitimore, MD 21229 | 2007-08-21 |
| 1669670618 | John C Huetsch | Internal Medicine | 5501 Hopkins Bayview Cir Fl 4, Baltimore, MD 21224-6821 | 2007-07-10 |
| 1316067929 | Lev Agarunov | Internal Medicine | 12154 Darnestown Rd, Ste 625, Gaithersburg, MD 20878-2206 | 2007-03-29 |
| 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.