Organization Active NPI

Edford O. Chambers, M.D. LLC

  • Otolaryngology Physician
  • Leonardtown, MD
National Provider Identifier
1285852830
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D0044310 Issued in MD
Legal business name
EDFORD O. CHAMBERS, M.D. LLC
Practice address
22650 Cedar Lane
St. Mary'S Medical Arts BLDG
Leonardtown, MD 20650-1630
Phone
(301) 475-1692
Fax
(301) 997-0912
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edford O Chambers, M.D.
Title
Physician
Phone
(301) 475-1692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X D0044310 MD Primary

Addresses

Primary practice location

22650 Cedar Lane
St. Mary'S Medical Arts BLDG
Leonardtown, MD 20650-1630

Mailing address

P.O. Box 1630
Leonardtown, MD 20650-1630
Phone (301) 475-1692

Other identifiers 3

IdentifierTypeStateIssuer
8208OtherMDBCBS-FEDERAL
LU04OtherMDCAREFIRST BCBS
8208OtherMDBCBS-NAT'L CAPITAL AREA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285852830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1630",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206501630",
            "telephone_number": "301-475-1692",
            "fax_number": "301-997-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22650 CEDAR LANE",
            "address_2": "ST. MARY'S MEDICAL ARTS BLDG",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206501630",
            "telephone_number": "301-475-1692",
            "fax_number": "301-997-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDFORD O. CHAMBERS, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "EDFORD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-475-1692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0044310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-FEDERAL",
            "identifier": "8208",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "LU04",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-NAT'L CAPITAL AREA",
            "identifier": "8208",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.