Medstar Southern Maryland Physicians, LLC
Organization Active NPI Family Medicine Physician · Fort Washington, MD
NPI 1174568091 · NPPES record last updated Mar 15, 2013
Key facts
- NPI
- 1174568091
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
- Practice address
- 900 East Swan Creek Road
Fort Washington, MD 20744 - Phone
- (301) 292-1590
- Fax
- (301) 203-3347
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Jane Raymond
- Title
- Vice President
- Phone
- (301) 856-3019
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Medstar Southern MD Phys
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
900 East Swan Creek Road
Fort Washington, MD 20744
Mailing address
10403 Hospital Drive
Suite G-4
Clinton, MD 20735-3134
Phone (301) 856-3019
Other names
- Fort Washington Family Medical Center
Other providers in Fort Washington, MD
- Medical Faculty Associates Inc
- Medline Health Services
- Medstar Medical Group - Southern Maryland LLC
- Medstar Medical Group - Southern Maryland LLC
- Medstar Medical Group - Southern Maryland LLC
- Selamawit Mekonnen
- Mending Heart Christian Counseling Services
- Hengameh Nouri Mesbahi
- Metro Family Support Services
- Metro Star Sleep Care Center LLC
All providers in Fort Washington, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.