Chesapeake Pediatric & Adolescent Associates, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA

Practice address

29 Broad St Ste 201
Berlin, MD 21811-1054

Phone

(410) 543-1616

Fax

(410) 543-8497

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Kim Watson

Title

Credentialing

Phone

(410) 543-1616

Specialties & licenses 1

Addresses

Tax ID family

Chesapeake Pediatric Adolescent Associates PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Chesapeake Pediatric & Adolescent Associates, PA

  • Pediatric Adolescent Medicine Physician
  • Salisbury, MD
  • NPI 1699894857
  NPD tax ID
• Chesapeake Pediatric & Adolescent Associates, PA

  • Professional Counselor
  • Salisbury, MD
  • NPI 1922987858
  NPD tax ID

Locations

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1073340907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST STE 201",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046959",
            "telephone_number": "410-543-1616",
            "fax_number": "410-543-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BROAD ST STE 201",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111054",
            "telephone_number": "410-543-1616",
            "fax_number": "410-543-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "410-543-1616"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Christine Chaffee
• Kimberly Chaikel
• Lee Anne Krystle Rico Chan, OTR/L
• Beatrice Chebet
• James P Cherry, M.D.
• Chesapeake Urology Associates, LLC
• Crystal Lynette Chester
• Stephen Alexander Chin, D.O.
• Jhansi Lakshmi Chinnam, RPH
• Kayla Chisum

• Pediatrics Physician in Berlin, MD
• Providers in Berlin, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.