St. Mary'S Hospital of St. Mary'S County Inc.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

18-001 Issued in MD

Legal business name

ST. MARY'S HOSPITAL OF ST. MARY'S COUNTY INC.

Practice address

25500 Point Lookout Road
Leonardtown, MD 20650

Phone

(301) 475-8981

NPI assigned

Sep 19, 2006

Organization subpart

No

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

Authorized official

Name

Richard Braam

Title

Vice President for Finance

Phone

(301) 475-6003

Specialties & licenses 1

Addresses

Other names 1

• SMH Professional Services Doing business as

Electronic endpoints 1

Practitioners 1

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

• Mark Luis Gonzalez, M.D.

  • Ophthalmology Physician
  • Bowie, MD
  • NPI 1356552426
  NPD (past)

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1306943824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 POINT LOOKOUT ROAD",
            "address_2": "P.O. BOX 527",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "301-475-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 POINT LOOKOUT ROAD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "301-475-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HOSPITAL OF ST. MARY'S COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "BRAAM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT FOR FINANCE",
        "authorized_official_telephone_number": "301-475-6003"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "18-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SMH Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Mary'S County Public Schools
• St. Mary'S County Sheriff'S Office
• St. Mary'S Everside Health Center
• St. Mary'S Health Department
• St. Mary'S Hospice Physician - Medicaid
• St. Mary'S Hospital of St. Mary'S County, Inc
• St. Mary'S Hospital Pathology
• St. Mary'S Hospital Specialists
• St. Mary'S Medical Associates, LLC
• St. Mary'S Multispeciality Physicians

• Hospitalist Physician in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Hospitalist Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.