Active NPI
Queen Anne'S Medical Center, LLC
- Internal Medicine Physician
- Chester, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D32036
- Legal business name
- QUEEN ANNE'S MEDICAL CENTER, LLC
- Practice address
- 2108 Rear Didonato Drive
Chester, MD 21619 - Phone
- (410) 643-6205
- Fax
- (410) 643-6945
- NPI assigned
- Mar 15, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary John Sprouse, MD
- Title
- Physician
- Phone
- (410) 643-6710
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D32036 | MD | Primary |
Addresses
Primary practice location
2108 Rear Didonato Drive
Chester, MD 21619
Mailing address
2108 Rear Didonato Drive
Chester, MD 21619
Phone (410) 643-6710
Other practice location 1
300 Lemmon Hill Ln
Salisbury, MD 21801-4239
Phone (410) 742-1432
Other practice location 2
105 Time Sq
Salisbury, MD 21801-2808
Phone (410) 749-2474
Other practice location 3
410 Colonial Dr
Denton, MD 21629-3055
Phone (410) 479-2273
Other practice location 4
109 Williamsport Cir
Salisbury, MD 21804-6472
Phone (410) 643-6205
Other practice location 5
1110 Healthway Dr
Salisbury, MD 21804-4476
Phone (410) 713-4094
Other practice location 6
205 Armstrong St
Centreville, MD 21617-2125
Phone (410) 758-2323
Other practice location 7
204 N Main St
Greensboro, MD 21639-1453
Phone (410) 643-6205
National Provider Directory
National Provider DirectoryLocations
2108 Didonato Dr
Rear
Chester, MD 21619
Phone (410) 643-6205
204 N Main St
Greensboro, MD 21639
Phone (410) 482-4089
109 Williamsport Cir
Salisbury, MD 21804
Phone (410) 643-6205
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Chester, MD
- NPI 1255443727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1407359532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 REAR DIDONATO DRIVE",
"city": "CHESTER",
"state": "MD",
"postal_code": "21619",
"telephone_number": "410-643-6710",
"fax_number": "410-643-6945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 REAR DIDONATO DRIVE",
"city": "CHESTER",
"state": "MD",
"postal_code": "21619",
"telephone_number": "410-643-6205",
"fax_number": "410-643-6945"
}
],
"practiceLocations": [
{
"address_1": "300 Lemmon Hill Ln",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218014239",
"country_code": "US",
"telephone_number": "410-742-1432",
"fax_number": "410-742-9529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 Time Sq",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218012808",
"country_code": "US",
"telephone_number": "410-749-2474",
"fax_number": "410-749-8260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "410 Colonial Dr",
"address_purpose": "LOCATION",
"city": "Denton",
"state": "MD",
"postal_code": "216293055",
"country_code": "US",
"telephone_number": "410-479-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 Williamsport Cir",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218046472",
"country_code": "US",
"telephone_number": "410-643-6205",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1110 Healthway Dr",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218044476",
"country_code": "US",
"telephone_number": "410-713-4094",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 Armstrong St",
"address_purpose": "LOCATION",
"city": "Centreville",
"state": "MD",
"postal_code": "216172125",
"country_code": "US",
"telephone_number": "410-758-2323",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "204 N Main St",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "MD",
"postal_code": "216391453",
"country_code": "US",
"telephone_number": "410-643-6205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "QUEEN ANNE'S MEDICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-15",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "SPROUSE",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "410-643-6710",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D32036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.