CALVERTHEALTH MEDICAL GROUP LLC NPI 1013754944

NPI Information

  • NPI: 1013754944
  • Provider Name: CALVERTHEALTH MEDICAL GROUP, LLC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 110 HOSPITAL RD STE 112
    PRINCE FREDERICK, MD
    ZIP 20678
  • Phone: (410) 414-9116

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NPI Details

CALVERTHEALTH MEDICAL GROUP, LLC is a hematology and oncology internal medicine in Prince Frederick, MD. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. CALVERTHEALTH MEDICAL GROUP, LLC NPI is 1013754944. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

110 HOSPITAL RD STE 112
PRINCE FREDERICK, MD
ZIP 20678-039
Phone: (410) 414-9116
Fax: (410) 414-9118

The provider's authorized official is Carolyn Heithaus .
The authorized official title is Cfo and has the following contact phone number (410) 535-8236.

The enumeration date for this NPI number is 7/9/2024 and was last updated on 7/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RH0003XInternal MedicineHematology & OncologyYes
3208600000XSurgeryNo
4363L00000XNurse PractitionerNo
5363LF0000XNurse PractitionerFamilyNo
6363LG0600XNurse PractitionerGerontologyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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