Medical & Surgical Clinics of Southern Maryland Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC

Practice address

7501 Surratts Road
Suite 208B
Clinton, MD 20735-3362

Phone

(301) 856-1075

Fax

(301) 856-7815

NPI assigned

Jun 12, 2006

Organization subpart

Yes

Parent organization

MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INCAs reported in NPPES

Name

Jane Raymond

Title

Vice President

Phone

(301) 856-3019

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medical & Surgical Clinics of Southern Maryland Inc

  • Family Medicine Physician
  • Clinton, MD
  • NPI 1851473722
  NPPES parent name

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly K McVicker, MD

  • Anesthesiology Physician
  • Clinton, MD
  • NPI 1275512097
  NPD (past)

Part of

Med Surg Clinics of So

Locations

• Clinton General Surgery Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2009.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1821030156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10403 HOSPITAL DRIVE",
            "address_2": "SUITE G-04",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353134",
            "telephone_number": "301-856-3019",
            "fax_number": "301-856-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 SURRATTS ROAD",
            "address_2": "SUITE 208B",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353362",
            "telephone_number": "301-856-1075",
            "fax_number": "301-856-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "301-856-3019"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22101200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton General Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly K McVicker, MD
• Mdics at Southern Maryland LLC
• Mdics at Southern Maryland LLC
• Roza Medehane, NP
• Medical & Surgical Clinics of Southern Maryland Inc
• Medical & Surgical Clinics of Southern Maryland Inc
• Medical Practice Solutions, LLC
• Medstar Medical Group - Southern Maryland LLC
• Medstar Medical Group - Southern Maryland LLC
• Medstar Medical Group II LLC

• All providers in Clinton, MD
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.