Provider Type Icon

WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION NPI 1386703718


NPI Information

NPI: 1386703718
Provider Name: WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION

Doing Business As: WMHS CARDIAC AND THORACIC SURGICAL SERVICES

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
902 SETON DR
SUITE 204
CUMBERLAND, MD
ZIP 21502
Phone: (301) 723-6365
Get Directions

WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION is a cardiovascular disease internal medicine in Cumberland, 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. WESTERN MARYLAND HEALTH SYSTEM BRADDOCK HOSPITAL CORPORATION NPI is 1386703718. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wmhs Cardiac And Thoracic Surgical Services.

The provider's business location address is:

902 SETON DR
SUITE 204
CUMBERLAND, MD
ZIP 21502-873
Phone: (301) 723-6365
Fax: (301) 723-6277

The provider's authorized official is Kimberly S. Repac .
The authorized official title is Sr. Vp Cfo and has the following contact phone number (301) 723-1443.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 6/12/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CA5993 CH3960 CE790OTHERMARYLANDTRAVELERS MEDICARE
2774141304MEDICAIDMARYLAND
3001708660OTHERWEST VIRGINIAMT. STATE BC BS
47741413-01MEDICAIDMARYLAND
5G362OTHERDISTRICT OF COLUMBIAFEDERAL BC BS
6774141303MEDICAIDMARYLAND
7K936SEOTHERMARYLANDBC BS MD
8K936SE11MEDICARE PINMARYLAND

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.