Organization 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
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
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, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CALVERT HEALTH SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
662109100MedicaidMD

Other names 1

  • CMH Woman's Wellness Center Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.