Adfinitas Health at Upper Chesapeake Harford Memorial LLC
Organization Active NPI Hospitalist Physician · Havre de Grace, MD
NPI 1457051724 · NPPES record last updated Mar 6, 2023
Key facts
- NPI
- 1457051724
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- ADFINITAS HEALTH AT UPPER CHESAPEAKE HARFORD MEMORIAL LLC
- Practice address
- 501 S Union Ave
Havre de Grace, MD 21078-3409 - Phone
- (443) 843-5000
- NPI assigned
- Mar 6, 2023
- Organization subpart
- No
Authorized official
- Name
- Tim Delbrugge
- Title
- VP & Cfo
- Phone
- (443) 949-0814
Practitioners 121
-
Richard O. Addo, MD
-
Tonya L. Appleby, NP
-
Claudiu Austin, MD
-
Shankar Awasthi, M.D.
-
Manisha Bahl, MD
-
Neha Batta, M.D.
-
Mercy Ben, CRNP
-
Charles Anim Berko, M. D.
-
Kelly Blosser, CRNP
-
Krishnaveni Bupathi, M.D.
-
Sharon Campbell, CRNP
-
Tonye Ogechi Eluchie, M.D.
-
Maria J Gaines-Onwukwe, NURSE PRACTITIONER
-
Qinglin Gao, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230524002364 | MD | Part B Supplier - Clinic/Group Practice | 5799141388 |
Receives reassigned benefits from 120 practitioners Practice locations: Havre de Grace, MD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
208M00000X | Yes |
Addresses
Primary practice location
501 S Union Ave
Havre de Grace, MD 21078-3409
Mailing address
PO Box 69231
Baltimore, MD 21264-9231
Other providers in Havre de Grace, MD
- 321 Therapy, LLC
- Jenifer Abbott
- John Acquaviva Jr.
- Angelina Addae-Mensah
- Advanced Pain Management Specialists, LLC
- Advanced Pain Management Specialists, LLC
- Advantage Psychiatric Services LLC
- Agape Physical Therapy & Sports Rehabilitation LP
- Anna Lenore Agnew
All providers in Havre de Grace, MD · Hospitalist Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.