NPIMap

Organization Active NPI

Southern Maryland Hospital ,Inc.

  • Obstetrics & Gynecology Physician
  • Clinton, MD
National Provider Identifier
1972770519
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SOUTHERN MARYLAND HOSPITAL ,INC.
Doing business as
Department of Obstetrics & Gynecology
Practice address
7503 Surratts Rd
Suite G125
Clinton, MD 20735-3358
Phone
(301) 870-7001
Fax
(301) 870-6697
NPI assigned
May 13, 2008
Organization subpart
Yes
Parent organization
SOUTHERN MARYLAND HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Mr. Charles R Stewart
Title
Cfo
Phone
(301) 877-4541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

7503 Surratts Rd
Suite G125
Clinton, MD 20735-3358

Mailing address

7503 Surratts Rd
Suite G125
Clinton, MD 20735-3358
Phone (301) 870-7001

Other identifiers 2

IdentifierTypeStateIssuer
9158, LR78SOOtherMDCAREFIRST NCA & MARYLAND GROUP NUMBERS
410566400MedicaidMD

Other names 1

  • Department of Obstetrics & Gynecology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sothern Maryland Hospit6 organizations share this tax ID, including this one
Part of
Sothern Maryland Hospit

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1972770519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 SURRATTS RD",
            "address_2": "SUITE G125",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353358",
            "telephone_number": "301-870-7001",
            "fax_number": "301-870-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 SURRATTS RD",
            "address_2": "SUITE G125",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353358",
            "telephone_number": "301-870-7001",
            "fax_number": "301-870-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MARYLAND HOSPITAL ,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN MARYLAND HOSPITAL, INC.",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-877-4541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST NCA & MARYLAND GROUP NUMBERS",
            "identifier": "9158, LR78SO",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410566400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Obstetrics & Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.