Blue Chesapeake Medical

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

BLUE CHESAPEAKE MEDICAL

Practice address

12836 Macbeth Farm LN
Clarksville, MD 21029-1555

Phone

(144) 387-8409

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By 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

Wei Lu, MD

Title

Owner

Phone

(443) 878-4098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1093445546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12836 MACBETH FARM LN",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291555",
            "telephone_number": "144-387-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12836 MACBETH FARM LN",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291555",
            "telephone_number": "144-387-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CHESAPEAKE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "WEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-878-4098",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa L Benavent, DDS, MSD
• Diana F Bennett
• Yana Benyumov, LCPC
• Annette Louise Bergeron, PT
• Nicole Bickhart, OTRL/CHT
• Ashley Boehm, PSYCH ASSOCIATE
• Brighter Hope Wellness Center
• Brighter Hope Wellness Center
• Jada Bryant Roland
• Eric Bush, M.D.

• Nephrology Physician in Clarksville, MD
• Providers in Clarksville, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.