Active NPI
Calvert Memorial Hospital of Calvert County
Doing business as CMH Woman's Wellness Center
- Gynecology Physician
- Prince Frederick, MD
National Provider Identifier
1427224930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- CALVERT MEMORIAL HOSPITAL OF CALVERT COUNTY
- Doing business as
- CMH Woman's Wellness Center
- Practice address
- 130 Hospital Rd
Suite 201
Prince Frederick, MD 20678-4015 - Phone
- (410) 286-7992
- Fax
- (410) 286-7990
- NPI assigned
- May 5, 2008
- Last updated
- Apr 16, 2015
- Organization subpart
- Yes
- Parent organization
- CALVERT HEALTH SYSTEMS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean Teague
- Title
- President & C.E.O
- Phone
- (410) 535-8239
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
130 Hospital Rd
Suite 201
Prince Frederick, MD 20678-4015
Mailing address
100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 286-7992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 662109100 | Medicaid | MD |
Other names 1
- CMH Woman's Wellness Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429142400000",
"number": "1427224930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784017",
"telephone_number": "410-286-7992",
"fax_number": "410-286-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 HOSPITAL RD",
"address_2": "SUITE 201",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784015",
"telephone_number": "410-286-7992",
"fax_number": "410-286-7990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALVERT MEMORIAL HOSPITAL OF CALVERT COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CALVERT HEALTH SYSTEMS, INC.",
"enumeration_date": "2008-05-05",
"last_updated": "2015-04-16",
"status": "A",
"authorized_official_last_name": "TEAGUE",
"authorized_official_first_name": "DEAN",
"authorized_official_title_or_position": "PRESIDENT & C.E.O",
"authorized_official_telephone_number": "410-535-8239"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "662109100",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CMH Woman's Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prince Frederick, MD
- Calvert Health Ventures Inc
- Calvert Hospice, Inc (Palliative Medicine of Southern Maryland)
- Calvert Internal Medicine Group PA
- Calvert Internal Medicine Group, PA
- Calvert Memorial Hospital of Calvert County (CMH Laboratory Services)
- Calvert Memorial Hospital of Calvert County (CMH Transitional Care Unit)
- Calvert OBGYN Associates of Southern Maryland, LLC
- Calvert Pathology LLC
- Calvert Physical Therapy and Sports Fitness Center
- Calvert Physical Therapy and Sports Fitness Ctr.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.