Charles B Clagett Jr. (NPI# 1467421545, PAC ID# 6204008097) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1467421545 |
PAC ID by PECOS | 6204008097 |
Professional Enrollment ID | I20161228000097 |
Full Name | Charles B Clagett Jr. |
Organization Legal Name | MEDSTAR MEDICAL GROUP II LLC |
Address |
41680 Miss Bessie Dr Leonardtown MD 20650-2906 |
Phone Number | 3019970055 |
Gender | M |
Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1993 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 0547413825 |
Number of Group Practice Members | 346 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210028 | MEDSTAR SAINT MARY'S HOSPITAL |
Address | Phone | Organization |
---|---|---|
41680 Miss Bessie Dr, Leonardtown, MD 20650-2906 | 3019970055 | MEDSTAR MEDICAL GROUP II LLC |
Organization Legal Name | MEDSTAR MEDICAL GROUP II LLC |
Physicians | 582 |
Name | Specialty | Organization | Address |
---|---|---|---|
Leah T Bergman | Internal Medicine | Medstar Medical Group II LLC | 9105 Franklin Square Dr, Rosedale, MD 21237-3930 |
Mary Heathcote | Family Medicine | Medstar Medical Group II LLC | 1818 H St Nw, Washington, DC 20433-0001 |
Lauren Marie Perz | Family Medicine | Medstar Medical Group II LLC | 23511 Hollywood Rd, Suite 2, Leonardtown, MD 20650-5833 |
Tolulope A Agunbiade | Cardiovascular Disease (cardiology) | Medstar Medical Group II LLC | 1145 19th St Nw, 311 Mmg At 19th Street Nw, Washington, DC 20036-3735 |
Terence Leonard O'rourke | Family Medicine | Medstar Medical Group II LLC | 1120 20th St Nw, Medstar At Lafayette, Washington, DC 20036-3406 |
Khalil Ibrahim | Cardiovascular Disease (cardiology) | Medstar Medical Group II LLC | 5601 Loch Raven Blvd Russel Morga, Ste206, Baltimore, MD 21239-2945 |
Robert C Clark | Internal Medicine | Medstar Medical Group II LLC | 3301 New Mexico Ave, 205 Mmg At New Mexico Ave, Washington, DC 20016-3627 |
Elizabeth M Hodson | Nurse Practitioner | Medstar Medical Group II LLC | 12111 Darnestown Rd, Gaithersburg, MD 20878-3211 |
Caroline Simm | Nurse Practitioner | Medstar Medical Group II LLC | 2227 Old Emmorton Rd, 220 Mmgii At Smaldore, Bel Air, MD 21015-6189 |
Christian C Glaser | Sports Medicine | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
Street Address |
41680 MISS BESSIE DR |
City | LEONARDTOWN |
State | MD |
Zip | 20650-2906 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer Renee Waytashek | Certified Nurse Midwife (cnm) | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
Michelle Mccloskey | Occupational Therapy | Sense-ability, LLC | 41680 Miss Bessie Dr, Suite 103, Leonardtown, MD 20650-2963 |
Lauren Ervin | Certified Nurse Midwife (cnm) | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
Rachelle Marie Tomaszeski | Nurse Practitioner | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
Ashley Dearstine | Nurse Practitioner | Medstar Medical Group II LLC | 41680 Miss Bessie Dr, Leonardtown, MD 20650-2906 |
Maria L Obrien | Family Medicine | Medstar Medical Group II LLC | 41680 Miss Bessie Dr, Leonardtown, MD 20650-2906 |
Amy Ramthun | Nurse Practitioner | Southern Maryland Women's Healthcare, Pa | 41680 Miss Bessie Dr, Suite 102, Leonardtown, MD 20650-2963 |
Tiffany Wilson | Nurse Practitioner | Medstar Medical Group II LLC | 41680 Miss Bessie Dr, Leonardtown, MD 20650-2906 |
Jennifer Roman | Physical Therapy | Sense-ability, LLC | 41680 Miss Bessie Dr, Suite 103, Leonardtown, MD 20650-2963 |
Yvette M Mccoy | Qualified Speech Language Pathologist | 41680 Miss Bessie Dr, Suite 103, Leonardtown, MD 20650-2963 | |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Emily Marie Miller | Physician Assistant | Verghese and Ling M.d.p.a. | 26840 Point Lookout Rd, Leonardtown, MD 20650 |
Sabrina A Sepulveda | Nurse Practitioner | 41630 Couthouse Dr, Leonardtown, MD 20650 | |
Rhonda Cox | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
Danielle Luray Guy | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
Bonnie L Torres | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
Jeremy Thurman | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
Lauren Snyder | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
Aaron Bauer | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
Richard S Hageman | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
Laura P Ward | Physical Therapy | Proflex Physical Therapy of Maryland LLC | 22715 Washington St, Leonardtown, MD 20650-0309 |
Find all physicians in zip 20650 |
City | LEONARDTOWN |
Zip Code | 20650 |
Specialty | INTERNAL MEDICINE |
City + Specialty | LEONARDTOWN + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.