Active NPI
Chesapeake Family Health Care
- Family Medicine Physician
- Leonardtown, MD
National Provider Identifier
1679713358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H0055751
- Legal business name
- CHESAPEAKE FAMILY HEALTH CARE
- Practice address
- 23130 Moakley St
Leonardtown, MD 20650-2918 - Phone
- (301) 997-0611
- Fax
- (301) 997-0709
- NPI assigned
- Feb 20, 2009
- Organization subpart
- Yes
- Parent organization
- ST. CLEMENTS MEDICAL CARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer M Schmidt, D.O.
- Title
- Doctor
- Phone
- (301) 997-0322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H0055751 | MD | Primary |
Addresses
Primary practice location
23130 Moakley St
Leonardtown, MD 20650-2918
Mailing address
40900 Merchants LN
Suite 205
Leonardtown, MD 20650-3700
Phone (301) 997-0322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142500500 | Medicaid | MD |
National Provider Directory
National Provider Directory- Part of
- St Clements Medical Car
Locations
23140 Moakley St
Ste 2
Leonardtown, MD 20650
Phone (301) 475-7750
40900 Merchants Ln
Unit 205
Leonardtown, MD 20650
Phone (301) 997-0322
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- Leonardtown, MD
- NPI 1982680641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235088000000",
"number": "1679713358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40900 MERCHANTS LN",
"address_2": "SUITE 205",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206503700",
"telephone_number": "301-997-0322",
"fax_number": "301-997-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23130 MOAKLEY ST",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502918",
"telephone_number": "301-997-0611",
"fax_number": "301-997-0709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESAPEAKE FAMILY HEALTH CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. CLEMENTS MEDICAL CARE, LLC",
"enumeration_date": "2009-02-20",
"last_updated": "2009-02-20",
"status": "A",
"authorized_official_last_name": "SCHMIDT",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "301-997-0322",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MD",
"license": "H0055751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142500500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leonardtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.