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CHESAPEAKE PHYSICIANS GROUP NPI 1487119046


NPI Information

NPI: 1487119046
Provider Name: CHESAPEAKE PHYSICIANS GROUP

Doing Business As: CHESAPEAKE ERGENT CARE

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 21D1052438

Address:
1071 MD RT 3 N
GAMBRILLS, MD
ZIP 21054
Phone: (410) 721-2333
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CHESAPEAKE PHYSICIANS GROUP is a general practice in Gambrills, MD. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CHESAPEAKE PHYSICIANS GROUP NPI is 1487119046. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chesapeake Ergent Care.

The provider's business location address is:

1071 MD RT 3 N
GAMBRILLS, MD
ZIP 21054-784
Phone: (410) 721-2333

The provider's authorized official is Ron Elfenbein .
The authorized official title is Ceo/medical Director and has the following contact phone number (410) 507-9698.

The CLIA number assigned to this NPI record is 21D1052438 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/7/2019 and was last updated on 3/25/2019.


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
1208D00000XGeneral PracticeYes

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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