Chestertown Family Medicine PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D16488 Issued in MD

Legal business name

CHESTERTOWN FAMILY MEDICINE PA

Practice address

6602 Church Hill Rd
Suite 200
Chestertown, MD 21620-2310

Phone

(410) 778-0300

Fax

(410) 778-0351

NPI assigned

Mar 23, 2007

Last updated

Sep 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wayne D Benjamin, M.D.NPI 1992761472

Title

President

Phone

(410) 778-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frederick William Delboy, MD

  • Family Medicine Physician
  • Chestertown, MD
  • NPI 1245299932
  Medicare reassignment NPD
• Wayne Douglas Benjamin, MD

  • Family Medicine Physician
  • Chestertown, MD
  • NPI 1992761472
  NPD (past) Authorized official
• Suzanne C Benjamin, M.S., R.D., L.D.N.

  • Registered Dietitian
  • Chestertown, MD
  • NPI 1154643690
  NPD (past)
• Jennifer Bagwell De la Rosa, DO

  • Family Medicine Physician
  • West Burlington, IA
  • NPI 1417915208
  NPD (past)
• Paul Anthony Donaher, MD

  • Family Medicine Physician
  • Coatesville, PA
  • NPI 1508822461
  NPD (past)
• Rachel Sweet Kramer, RN, MSN, MBA, NP

  • Adult Health Nurse Practitioner
  • Cochranville, PA
  • NPI 1053554816
  NPD (past)
• Heather Anne Morphy, M.D.

  • Family Medicine Physician
  • Everett, WA
  • NPI 1912908294
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1073630158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 CHURCH HILL RD",
            "address_2": "SUITE 200",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202310",
            "telephone_number": "410-778-0300",
            "fax_number": "410-778-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 CHURCH HILL RD",
            "address_2": "SUITE 200",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202310",
            "telephone_number": "410-778-0300",
            "fax_number": "410-778-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTERTOWN FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-778-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D16488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033141400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chester River Pharmacy LLC
• Chester River Pharmacy LLC (Chester River Pharmacy)
• Chestertown Cardiology LLC
• Chestertown Cardiology LLC
• Chestertown Chiropractic Center LLC
• Chestertown MD Opco LLC
• Chestertown Nursing & Rehabilitation Center
• Chestertown Nursing and Rehab, LLC
• Chestertown Operating LLC
• Chestertown Operator LLC (Autumn Lake Healthcare At Chestertown)

• Family Medicine Physician in Chestertown, MD
• Providers in Chestertown, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.