CHESAPEAKE PEDIATRICS LLC NPI 1396934816

NPI Information

  • NPI: 1396934816
  • Provider Name: CHESAPEAKE PEDIATRICS LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 21D0978598
  • Address: 121 OLD SOLOMONS ISLAND RD
    ANNAPOLIS, MD
    ZIP 21401
  • Phone: (410) 224-3663

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NPI Details

CHESAPEAKE PEDIATRICS LLC is a pediatrics in Annapolis, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CHESAPEAKE PEDIATRICS LLC NPI is 1396934816. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

121 OLD SOLOMONS ISLAND RD
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 224-3663
Fax: (410) 224-2693

The provider's authorized official is Kenneth M Hoffman .
The authorized official title is Administrative Official and has the following contact phone number (410) 224-3633.

The CLIA number assigned to this NPI record is 21D0978598 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2007 and was last updated on 10/22/2007.

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
1208000000XPediatricsD12796MARYLANDYes

What is NPI?

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

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