Calvert Internal Medicine Group, PA

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

R144667 Issued in MD

Legal business name

CALVERT INTERNAL MEDICINE GROUP, PA

Practice address

110 Hospital Rd
Suite 310
Prince Frederick, MD 20678-4019

Phone

(410) 535-2005

NPI assigned

Mar 9, 2015

Organization subpart

No

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

Authorized official

Name

Patricia A Gates

Title

Credentialing Specialist

Phone

(410) 535-7068

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 1

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

• Julie O'Keefe, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Prince Frederick, MD
  • NPI 1013078880
  NPD (past)

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1376936823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD",
            "address_2": "SUITE 310",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784019",
            "telephone_number": "410-535-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD",
            "address_2": "SUITE 310",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784019",
            "telephone_number": "410-535-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERT INTERNAL MEDICINE GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "410-535-7068"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R144667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvert Ear Nose & Throat Associates Inc
• Calvert Family Practice Associates, P.a.
• Calvert Health Ventures Inc
• Calvert Hospice, Inc
• Calvert Internal Medicine Group PA
• Calvert Memorial Hospital of Calvert County
• Calvert Memorial Hospital of Calvert County
• Calvert Memorial Hospital of Calvert County
• Calvert OBGYN Associates of Southern Maryland, LLC
• Calvert Pathology LLC

• Gerontology Nurse Practitioner in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Gerontology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.