Chesapeake Endocrinology, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

CHESAPEAKE ENDOCRINOLOGY, LLC

Practice address

2191 Defense Hwy Ste 308
Crofton, MD 21114-2941

Phone

(410) 216-4445

NPI assigned

Apr 6, 2022

Organization subpart

No

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

Authorized official

Name

Onala Telford, MD

Title

Owner

Phone

(434) 249-2504

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jo Ellen Condon, RD, LD, CDE

  • Registered Dietitian
  • Annapolis, MD
  • NPI 1538216932
  Medicare reassignment NPD

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1285375931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 DEFENSE HWY STE 308",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142941",
            "telephone_number": "434-249-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 DEFENSE HWY STE 308",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142941",
            "telephone_number": "410-216-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE ENDOCRINOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "TELFORD",
        "authorized_official_first_name": "ONALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-249-2504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Katherine Cesaro, BCBA, LBA
• Kai-Fu Chang
• Amber Kaur Cheema
• Mashaal Amjad Cheema
• D W Chen, M.D.
• Katherine Childers
• Nana Choi
• Kate Chowpaknam, PSYD
• Carrie Ann Moritz Clancy, AU.D.
• Erin Greer Clark, M.S. CCC-SLP

• Endocrinology, Diabetes & Metabolism Physician in Crofton, MD
• Providers in Crofton, MD by specialty
• Endocrinology, Diabetes & Metabolism Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.