Paul Franklin Ambush Jr., M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0044955 Issued in MD

Practice address

6100 Daylong LN Ste 210
Clarksville, MD 21029-1655

Phone

(410) 531-7566

Fax

(410) 531-9790

NPI assigned

Jul 14, 2006

Last updated

Sep 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul Ambush MD, PA

  • Pediatrics Physician
  • Clarksville, MD
  • NPI 1154110351
  NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Yardmore Emergency Physicians LLC

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1730131657
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1730105461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 DAYBREAK CIR STE A150",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291638",
            "telephone_number": "410-531-7566",
            "fax_number": "410-531-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 DAYLONG LN STE 210",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291655",
            "telephone_number": "410-531-7566",
            "fax_number": "410-531-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBUSH",
        "first_name": "PAUL",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0044955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ijeoma Amadiegwu, PHARMD
• Amanah Family Counseling, LLC
• Amanah Family Counseling, LLC
• Amandas Care LLC (Amandas Care)
• Amani Counseling LLC (Gray Space Therapy)
• Haley Armacost
• Ati Holding LLC (ATI Physical Therapy)
• Janet Cecilia Austen, CRNP-FNP
• Patricia O'Brien Ayd-Boyd, MPT
• Janine Bagley

• Pediatrics Physician in Clarksville, MD
• Providers in Clarksville, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.