NPIMap

Organization Active NPI

Heart Center of Southern Maryland LLP

  • Cardiovascular Disease Physician
  • Waldorf, MD
National Provider Identifier
1861339178
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HEART CENTER OF SOUTHERN MARYLAND LLP
Practice address
11370 Pembrooke SQ
Waldorf, MD 20603-4842
Phone
(301) 932-5890
Fax
(301) 645-6361
NPI assigned
May 4, 2026
Organization subpart
Yes
Parent organization
HEART CENTER OF SOUTHERN MARYLAND, L.L.P.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Staci L Bowling
Title
Manager
Phone
(301) 932-5890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

11370 Pembrooke SQ
Waldorf, MD 20603-4842

Mailing address

PO Box 316
Waldorf, MD 20604-0316
Phone (301) 932-5890

National Provider Directory

National Provider Directory
Tax ID family
Heart Center of Southern Maryland LLP3 organizations share this tax ID, including this one
Part of
Heart Center of Southern Maryland LLP

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1861339178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206040316",
            "telephone_number": "301-932-5890",
            "fax_number": "301-645-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 PEMBROOKE SQ",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034842",
            "telephone_number": "301-932-5890",
            "fax_number": "301-645-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CENTER OF SOUTHERN MARYLAND LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEART CENTER OF SOUTHERN MARYLAND, L.L.P.",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-932-5890"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.