NPIMap

Organization Active NPI

Charles County Health Department

  • Family Medicine Physician
  • Indian Head, MD
National Provider Identifier
1053275149
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHARLES COUNTY HEALTH DEPARTMENT
Practice address
4202 Indian Head Highway
Indian Head, MD 20640-0000
Phone
(301) 609-6900
NPI assigned
Dec 12, 2025
Last updated
Feb 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Waldbauer
Title
Deputy Health Officer
Phone
(301) 609-6900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Pediatric Nurse Practitioner 363LP0200X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4202 Indian Head Highway
Indian Head, MD 20640-0000

Mailing address

4545 Crain Hwy
White Plains, MD 20695-3045
Phone (301) 609-6900

National Provider Directory

National Provider Directory
Tax ID family
Charles County Department of Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1053275149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 CRAIN HWY",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953045",
            "telephone_number": "301-609-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 INDIAN HEAD HIGHWAY",
            "city": "INDIAN HEAD",
            "state": "MD",
            "postal_code": "206400000",
            "telephone_number": "301-609-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "WALDBAUER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DEPUTY HEALTH OFFICER",
        "authorized_official_telephone_number": "301-609-6900"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Head, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.