SOUTHERN MARYLAND HOSPITAL INC NPI 1316136930

NPI Information

NPI: 1316136930
Provider Name: SOUTHERN MARYLAND HOSPITAL, INC

Doing Business As: DEPARTMENT OF CARDIOLOGY

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
7503 SURRATTS ROAD
CLINTON, MD
ZIP 20735
Phone: (301) 870-7001
Get Directions

SOUTHERN MARYLAND HOSPITAL, INC is a cardiovascular disease internal medicine in Clinton, MD. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SOUTHERN MARYLAND HOSPITAL, INC NPI is 1316136930. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Department Of Cardiology.

The provider's business location address is:

7503 SURRATTS ROAD
CLINTON, MD
ZIP 20735-358
Phone: (301) 870-7001
Fax: (301) 870-6697

The provider's authorized official is Charles R. Stewart .
The authorized official title is Cfo and has the following contact phone number (301) 877-4541.

The enumeration date for this NPI number is 10/19/2007 and was last updated on 11/7/2011.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9239, LR78SO	OTHER	MARYLAND	CAREFIRST NCA & MARYLAND GROUP NUMBERS
2	410571100	MEDICAID	MARYLAND
3	G00266	MEDICARE PIN	MARYLAND

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: 5/5/2024

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