NPIMap

Organization Active NPI

Medstar Health Weight Management, LLC

  • Family Medicine Physician
  • Hagerstown, MD
National Provider Identifier
1205607165
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDSTAR HEALTH WEIGHT MANAGEMENT, LLC
Practice address
118 E Oak Ridge Dr Ste 1100
Hagerstown, MD 21740-7793
Phone
(240) 382-1312
NPI assigned
Jan 10, 2024
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Ronda Richert
Title
VP Revenue Cycle Operations
Phone
(800) 905-3261

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Registered Dietitian 133V00000X NU
Family Medicine Physician 207Q00000X NU Primary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X NU

Addresses

Primary practice location

118 E Oak Ridge Dr Ste 1100
Hagerstown, MD 21740-7793

Mailing address

1099 Winterson Rd Ste 300
Linthicum Heights, MD 21090-2279

National Provider Directory

National Provider Directory
Tax ID family
Medstar Health Weight Management LLC54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1205607165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 WINTERSON RD STE 300",
            "city": "LINTHICUM HEIGHTS",
            "state": "MD",
            "postal_code": "210902279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E OAK RIDGE DR STE 1100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407793",
            "telephone_number": "240-382-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR HEALTH WEIGHT MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "RICHERT",
        "authorized_official_first_name": "RONDA",
        "authorized_official_title_or_position": "VP REVENUE CYCLE OPERATIONS",
        "authorized_official_telephone_number": "800-905-3261"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.