NPIMap

Organization Active NPI

St. Mary's County Sheriff's Office

Doing business as SMCSO Wellness Center

  • Occupational Health Registered Nurse
  • Leonardtown, MD
National Provider Identifier
1093495095
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Registered NurseTaxonomy code 163WX0106X
Legal business name
ST. MARY'S COUNTY SHERIFF'S OFFICE
Doing business as
SMCSO Wellness Center
Practice address
23150 Leonard Hall Dr
Leonardtown, MD 20650-5801
Phone
(301) 775-4200
NPI assigned
Jul 24, 2023
Organization subpart
Yes
Parent organization
ST. MARY'S COUNTY COMMISSIONERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Mr. James R Guy
Title
Commissioner President
Phone
(301) 475-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WX0106X Primary

Addresses

Primary practice location

23150 Leonard Hall Dr
Leonardtown, MD 20650-5801

Mailing address

23150 Leonard Hall Dr
Leonardtown, MD 20650-5801
Phone (301) 775-4200

Other names 1

  • SMCSO Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Mary's County Sheriff's Office5 organizations share this tax ID, including this one
Part of
St Mary's County Sheriff's Office

Other organizations with this tax ID 4

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

Locations

23150 Leonard Hall Dr
Leonardtown, MD 20650
Phone (240) 538-2284

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1093495095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23150 LEONARD HALL DR",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206505801",
            "telephone_number": "301-775-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23150 LEONARD HALL DR",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206505801",
            "telephone_number": "301-775-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S COUNTY SHERIFF'S OFFICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARY'S COUNTY COMMISSIONERS",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COMMISSIONER PRESIDENT",
        "authorized_official_telephone_number": "301-475-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Occupational Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMCSO Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.