PM Kids Calvert

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PM KIDS CALVERT

Practice address

1430 Solomons Island Rd Unit 1
Huntingtown, MD 20639-8711

Phone

(240) 585-7128

Fax

(240) 607-6749

NPI assigned

Apr 16, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Wali Gauvin, MD

Title

Co-Owner

Phone

(516) 456-4706

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1194669374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SOLOMONS ISLAND RD UNIT 1",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206398711",
            "telephone_number": "240-585-7128",
            "fax_number": "240-607-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 SOLOMONS ISLAND RD UNIT 1",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206398711",
            "telephone_number": "240-585-7128",
            "fax_number": "240-607-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM KIDS CALVERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "GAUVIN",
        "authorized_official_first_name": "WALI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "516-456-4706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurodivergent Support Services LLC
• Raymon A Noble, MD
• Patuxent Cardiology Associates LLC
• Angela Christine Pennix, LMSW
• Marsha Myrnette Plater, DDS
• Chauntay Quinn, RN
• Lindsay Ryan Randall
• Stacie Ann Rector, LAT, ATC
• Richard J. Ghattas, M.D., PA
• John David Roberts, LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.