CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES PA NPI 1699894857

NPI Information

NPI: 1699894857
Provider Name: CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 21D0221161

Address:
106 MILFORD ST STE 201
SALISBURY, MD
ZIP 21804
Phone: (410) 543-1616
Get Directions

CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA is an adolescent medicine pediatrics in Salisbury, MD. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA NPI is 1699894857. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

106 MILFORD ST STE 201
SALISBURY, MD
ZIP 21804-959
Phone: (410) 543-1616
Fax: (410) 543-8497

The provider's authorized official is Lisa Herbert .
The authorized official title is Senior Admin and has the following contact phone number (410) 543-1616.

The CLIA number assigned to this NPI record is 21D0221161 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 6/22/2023.

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	2080A0000X	Pediatrics	Adolescent Medicine		MARYLAND	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	283952	OTHER	MARYLAND	COVENTRY HEALTHCARE
2	4560463	OTHER	MARYLAND	AETNA
3	S758CH	OTHER	MARYLAND	BLUE CROSS BLUE SHIELD
4	188017	OTHER	MARYLAND	AMERIGROUP COMMUNITY CARE
5	213297	OTHER	MARYLAND	UNITED HEALTHCARE
6	G113-0000	OTHER	MARYLAND	CAREFIRST
7	430401200	OTHER	MARYLAND	MARYLAND PHYSICIANS CARE
8	430401200	MEDICAID	MARYLAND
9	430401201	MEDICAID	MARYLAND
10	826426	OTHER	MARYLAND	PRIORITY PARTNERS
11	G113	OTHER	MARYLAND	BLUE CROSS BLUE CHOICE

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

NPI Synchronization or Removal

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