NPIMap

Organization Active NPI

Chester River Hospital Center

Doing business as University of Maryland Shore Medical Center at Chestertown

  • General Acute Care Hospital
  • Chestertown, MD
National Provider Identifier
1679536809
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
14-002 Issued in MD
Legal business name
CHESTER RIVER HOSPITAL CENTER
Doing business as
University of Maryland Shore Medical Center at Chestertown
Practice address
100 Brown Street
Chestertown, MD 21620-1435
Phone
(410) 778-3300
Fax
(410) 778-7650
NPI assigned
Apr 10, 2006
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kenneth D Kozel
Title
President & Ceo
Phone
(410) 822-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 14-002 MD Primary

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 names 1

  • University of Maryland Shore Medical Center at Chestertown Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679536809. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Mar 6, 1930 in MD
Enrollment address
100 Brown Street
University of Maryland Shore Medical Center at Che
Chestertown, MD 21620-1435
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
University of MD Shore Medical Ctr at ChestertownCCN 210030 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 29

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph E Hoffman Individual Corporate Director Jul 1, 2023
Talli Oxnam Individual Corporate Officer Jul 1, 2024
Corporate Director Jul 1, 2024
Wayne Hockmeyer Individual Corporate Director Jul 1, 2023
Christopher Parry Individual Corporate DirectorBoard Member Jul 1, 2021
Arthur Cecil Individual Corporate DirectorBoard Member Aug 1, 2022
Tom D Seip Individual Corporate DirectorBoard Member Jan 1, 2020
Kim R Herman Individual Corporate DirectorBoard Member Aug 1, 2022
Milton Nagel Individual Corporate Officer Jul 1, 2024
Corporate Director Jul 1, 2024
David Milligan Individual Corporate Officer Jul 1, 2013
Corporate Director Jul 1, 2013
Kathleen Deoudes Individual Corporate DirectorBoard Member Aug 1, 2022
Valerie S Overton Individual Corporate Director Jul 1, 2023
Kenneth Kozel Individual Corporate OfficerPresident and Chief Executive of Oct 1, 2011
W-2 Managing EmployeePresident and Ceo Oct 1, 2011 100%
Keith McMahan Individual Corporate OfficerBoard Member-Emeritus Aug 1, 2022
Garret Falcone Individual Corporate DirectorBoard Member Jul 1, 2021
Charles Capute Individual Corporate DirectorBoard Member Aug 1, 2022
Jane Wang Individual Corporate DirectorBoard Member Aug 1, 2022
Lou S Satchell Individual Corporate DirectorBoard Member Aug 1, 2017
John Ashworth Individual Corporate DirectorBoard Member Aug 1, 2022
Kristin J Bryce Individual Corporate DirectorBoard Member Aug 1, 2022
University of Maryland Medical System Corporation Organization, Baltimore, MD Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2022 100%
Mohan Suntha Individual Corporate DirectorBoard Member Dec 1, 2019
Paul S Nicholson Individual Corporate OfficerSr VP & Cfo Dec 1, 2023
Luann Brady Individual Corporate Officer Feb 22, 2023
Corporate Director Feb 22, 2023
Eugene Newmier Individual Corporate DirectorBoard Member Aug 1, 2018
Catherine T Burton Individual Corporate DirectorBoard Member Aug 1, 2022
Marlene Feldman Individual Corporate Director Jul 1, 2023
Christopher L Runz Individual Corporate Officer Jul 1, 2024
Corporate Director Jul 1, 2024
Kenny Kreiser Individual Corporate DirectorBoard Member Aug 1, 2022
Chrissy Helfenbein Individual Corporate Officer Jul 1, 2024
Corporate Director Jul 1, 2024

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 197

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 197

Affiliated clinicians 316

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 316

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1679536809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BROWN ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201435",
            "telephone_number": "410-778-3300",
            "fax_number": "410-778-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROWN STREET",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201435",
            "telephone_number": "410-778-3300",
            "fax_number": "410-778-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER RIVER HOSPITAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "KOZEL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "410-822-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "14-002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Maryland Shore Medical Center at Chestertown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.