CALVERTHEALTH MEDICAL GROUP LLC NPI 1851138879

NPI Information

  • NPI: 1851138879
  • Provider Name: CALVERTHEALTH MEDICAL GROUP, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 21D0998022
  • Address: 8924 CHESAPEAKE AVE
    NORTH BEACH, MD
    ZIP 20714
  • Phone: (410) 257-7279

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NPI Details

CALVERTHEALTH MEDICAL GROUP, LLC is a family medicine in North Beach, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CALVERTHEALTH MEDICAL GROUP, LLC NPI is 1851138879. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8924 CHESAPEAKE AVE
NORTH BEACH, MD
ZIP 20714-050
Phone: (410) 257-7279
Fax: (410) 257-4311

The provider's authorized official is Carolyn Heithaus .
The authorized official title is Cfo and has the following contact phone number (410) 535-8236.

The CLIA number assigned to this NPI record is 21D0998022 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/9/2024 and was last updated on 7/10/2024.

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
1133V00000XDietitian, RegisteredNo
2207Q00000XFamily MedicineYes
3207R00000XInternal MedicineNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RH0003XInternal MedicineHematology & OncologyNo
6207V00000XObstetrics & GynecologyNo
7207X00000XOrthopaedic SurgeryNo
8208600000XSurgeryNo
9208800000XUrologyNo
10363A00000XPhysician AssistantNo
11363L00000XNurse PractitionerNo
12363LF0000XNurse PractitionerFamilyNo

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: 3/30/2025

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