Chester River Hospital Center
Organization Active NPI General Acute Care Hospital · Chestertown, MD
NPI 1679536809 · NPPES record last updated Sep 8, 2023
Key facts
- NPI
- 1679536809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 14-002 (MD)
- Legal business name
- CHESTER RIVER HOSPITAL CENTER
- Practice address
- 100 Brown Street
Chestertown, MD 21620-1435 - Phone
- (410) 778-3300
- Fax
- (410) 778-7650
- NPI assigned
- Apr 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Kenneth D Kozel
- Title
- President & Ceo
- Phone
- (410) 822-1000
Owners & managing parties with NPI records 8
-
Kim R Herman, M.D.
-
Eugene J Newmier, DO
-
Christopher F Parry, D.O.
-
Jane Wang, MD
Other NPIs on the same Medicare enrollment 3
Member of 1
Facilities with the same owner 10
Practitioners 197
-
Michael John Carlson, D.O.
-
Michele Domenick, MD
-
Rachel Fanaroff, MD
-
Olga B Ioffe, M.D.
-
Rupal Jain, M.D.
-
Pawan Karki, MD
-
Christopher C Lorentz, M.D.
-
Amy Jayne Plotkin, MD, PHD
-
Ann Morgan Price, D.O.
-
Rachel Andrea Schiming, M.D.
-
Paul N Staats, M.D.
-
Pranawa Koirala, MD
-
Scott Levitt, M.D.
-
Eric Li, MD
-
Tyler Littmann, DO
-
Bryant Preston Nelson, M.D.
Affiliated clinicians 316
-
Hamza M. Abdulla, M.D.
-
Gopal Aggarwal, MD
-
Larry Todd Albrecht, DPM
-
Rahel Alemu, CRNP
-
Syed Ishrat Ali, M.D.
-
Amanda Andrew, NP
-
Beth L Aronson, M.D.
-
John C. Arrabal, M.D.
-
Ashley Auffarth, CRNP
-
Cynthia H Bagamsah, CRNP
-
William E Bair, M.D.
-
Christina M Ball, CRNP
-
Brandy L Barrett, PMHNP-BC
-
Fallon Renee Bauer, PA-C
-
Marshall E. Benjamin, M.D.
-
Lauren Brien Bond, CRNP
-
John Botsis, M.D.
-
Mary Neeley Boyce, PA-C
-
Penny J Boyle, FNP-C
-
Kimberly Brice, CRNP
Medicare Care Compare: Hospital
- Listed as
- University of MD Shore Medical Ctr at Chestertown
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD
Hospital certification: CCN 210030
- Legal name
- CHESTER RIVER HOSPITAL CENTER
- Doing business as
- UNIVERSITY OF MARYLAND SHORE MEDICAL CENTER AT CHESTERTOWN
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Apr 18, 1995
- Beds
- 64
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 6, 1930 in MD
- Enrollment address
- 100 Brown Street
University of Maryland Shore Medical Center at Che
Chestertown, MD 21620-1435 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 29
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph E Hoffman |
Corporate Director | Jul 1, 2023 | |
| Talli Oxnam |
Corporate Officer | Jul 1, 2024 | |
| Corporate Director | Jul 1, 2024 | ||
| Wayne Hockmeyer |
Corporate Director | Jul 1, 2023 | |
| Christopher Parry |
Corporate Director |
Jul 1, 2021 | |
| Arthur Cecil |
Corporate Director |
Aug 1, 2022 | |
| Tom D Seip |
Corporate Director |
Jan 1, 2020 | |
| Kim R Herman |
Corporate Director |
Aug 1, 2022 | |
| Milton Nagel |
Corporate Officer | Jul 1, 2024 | |
| Corporate Director | Jul 1, 2024 | ||
| David Milligan |
Corporate Officer | Jul 1, 2013 | |
| Corporate Director | Jul 1, 2013 | ||
| Kathleen Deoudes |
Corporate Director |
Aug 1, 2022 | |
| Valerie S Overton |
Corporate Director | Jul 1, 2023 | |
| Kenneth Kozel |
Corporate Officer |
Oct 1, 2011 | |
| W-2 Managing Employee |
Oct 1, 2011 | 100% | |
| Keith McMahan |
Corporate Officer |
Aug 1, 2022 | |
| Garret Falcone |
Corporate Director |
Jul 1, 2021 | |
| Charles Capute |
Corporate Director |
Aug 1, 2022 | |
| Jane Wang |
Corporate Director |
Aug 1, 2022 | |
| Lou S Satchell |
Corporate Director |
Aug 1, 2017 | |
| John Ashworth |
Corporate Director |
Aug 1, 2022 | |
| Kristin J Bryce |
Corporate Director |
Aug 1, 2022 | |
| University of Maryland Medical System Corporation |
5% Or Greater Direct Ownership Interest | Aug 1, 2022 | 100% |
| Mohan Suntha |
Corporate Director |
Dec 1, 2019 | |
| Paul S Nicholson |
Corporate Officer |
Dec 1, 2023 | |
| Luann Brady |
Corporate Officer | Feb 22, 2023 | |
| Corporate Director | Feb 22, 2023 | ||
| Eugene Newmier |
Corporate Director |
Aug 1, 2018 | |
| Catherine T Burton |
Corporate Director |
Aug 1, 2022 | |
| Marlene Feldman |
Corporate Director | Jul 1, 2023 | |
| Christopher L Runz |
Corporate Officer | Jul 1, 2024 | |
| Corporate Director | Jul 1, 2024 | ||
| Kenny Kreiser |
Corporate Director |
Aug 1, 2022 | |
| Chrissy Helfenbein |
Corporate Officer | Jul 1, 2024 | |
| Corporate Director | Jul 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050510000504 | MD | Part B Supplier - Clinic/Group Practice | 0749220671 |
Receives reassigned benefits from 191 practitioners 3 other NPIs on this enrollment Practice locations: Chestertown, MD |
| O20071203000269 | MD | Part a Provider - Hospital | 0749220671 | Practice locations: Chestertown, MD |
National Provider Directory
Locations
11311 McCormick Rd
Ste 230
Hunt Valley, MD 21031
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 14-002 | MD | Yes |
Addresses
Primary practice location
100 Brown Street
Chestertown, MD 21620-1435
Mailing address
100 Brown St
Chestertown, MD 21620-1435
Phone (410) 778-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000265800 | Medicaid | MD |
Other names
- University of Maryland Shore Medical Center at Chestertown
Other providers in Chestertown, MD
- Chester River Home Care & Hospice
- Chester River Home Care and Hospice
- Chester River Home Care and Hospice
- Chester River Hospital Center
- Chester River Hospital Center
- Chester River Hospital Center
- Chester River Manor Nursing and Rehabilitation Center
- Chester River Manor, Inc
- Chester River Pharmacy LLC
- Chester River Pharmacy LLC
All providers in Chestertown, MD · General Acute Care Hospital in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.