Active NPI
Chesapeake Cardiac Care, P.a.
- Cardiovascular Disease Physician
- Bowie, MD
National Provider Identifier
1740354182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CHESAPEAKE CARDIAC CARE, P.A.
- Practice address
- 16900 Science Dr Ste 200
Bowie, MD 20715-4425 - Phone
- (410) 573-9805
- Fax
- (410) 573-9806
- NPI assigned
- Nov 18, 2006
- Last updated
- Jun 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Page Smith
- Title
- Practice Manager
- Phone
- (410) 573-9805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
16900 Science Dr Ste 200
Bowie, MD 20715-4425
Mailing address
16900 Science Dr Ste 200
Bowie, MD 20715-4425
Phone (410) 573-9805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500202800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
4000 River Crescent Dr
Annapolis, MD 21401
Phone (410) 224-8108
888 Bestgate Rd
Ste 215
Annapolis, MD 21401
Phone (410) 573-9805
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Cardiovascular Disease Physician
- Annapolis, MD
- NPI 1821081126
-
- Clinical Cardiac Electrophysiology Physician
- Annapolis, MD
- NPI 1194899021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655683200000",
"number": "1740354182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16900 SCIENCE DR STE 200",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154425",
"telephone_number": "410-573-9805",
"fax_number": "410-573-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16900 SCIENCE DR STE 200",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154425",
"telephone_number": "410-573-9805",
"fax_number": "410-573-9806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESAPEAKE CARDIAC CARE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-18",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "PAGE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "410-573-9805",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500202800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
- Cheeks and Son Transportation Inc
- Alliance Chekep Yepmo
- Chelsea Glover, LLC (3 Roads)
- Faith Njei Cheng
- Chesapeake Bay Aquatic & Physical Therapy, Inc (Chesapeake Physical & Aquatic Therapy)
- Chesapeake Open MRI L L C (Chesapeake Medical Imaging)
- Chesapeake Otolaryngology Associates
- Chesapeake Otolaryngology Associates, LLC
- Chesapeake Physical Aquatic Therapy Inc
- Sydney Chesney, LGMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.