Southern Maryland Nephrology and Hypertension

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SOUTHERN MARYLAND NEPHROLOGY AND HYPERTENSION

Practice address

9131 Piscataway Rd Ste 750
Clinton, MD 20735-2581

Phone

(301) 856-2810

NPI assigned

Mar 29, 2018

Last updated

Mar 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Antwi-Donkor, MDNPI 1629053848

Title

Owner

Phone

(301) 856-2810

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Eric Antwi-Donkor, MD

  • Nephrology Physician
  • Washington, DC
  • NPI 1629053848

  MD

  Medicare reassignment NPD Authorized official
• Cindy Xin Huang, MD

  • Nephrology Physician
  • Clinton, MD
  • NPI 1013059054
  NPD
• Pamela Gallagher Guha, MD

  • Nephrology Physician
  • Clinton, MD
  • NPI 1639155476
  NPD (past)

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1801391933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 MAUD LN",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 PISCATAWAY RD STE 750",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352581",
            "telephone_number": "301-856-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MARYLAND NEPHROLOGY AND HYPERTENSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "ANTWI-DONKOR",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-856-2810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "745172500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068293900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Maryland Hospital, Inc. (Department of Anesthesia)
• Southern Maryland Hospital, Inc. (Dept. of Obstetrics & Gynecology)
• Southern Maryland Hospital, Inc. (Department of Physical Medicine)
• Southern Maryland Hospital,Inc (Subacute Ctr at Southern MD Hospital)
• Southern Maryland Intensive Care, Inc.
• Southern Maryland Pediatrics LLC
• Southern Maryland Physical Therapy Inc. (Rehabilitation Center of Southern Maryland)
• Southern Maryland Professional Rad
• Southern Radiology MRI Partnership (MRI of Maryland)
• Natosha Peterson Speight, LCSW-C

• Nephrology Physician in Clinton, MD
• Providers in Clinton, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.

Verify at the official NPI Registry.