ST PAUL PLACE SPECIALISTS, INC.; NPI #1477428647

Contact Information

ST PAUL PLACE SPECIALISTS, INC.

110 HOSPITAL RD
PRINCE FREDERICK, MD 20678-4019

Phone: 410-332-9000
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Gynecologic Oncology	207VX0201X	16	Physician/Obstetrics & Gynecology
Nurse Practitioner	363L00000X	50	Nurse Practitioner
Physician Assistant	363A00000X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for ST PAUL PLACE SPECIALISTS, INC.

NPI #	`1477428647`
LBN Legal business name	ST PAUL PLACE SPECIALISTS, INC.
Authorized official	JUSTIN DEIBEL - (EXECUTIVE VICE PRESIDENT/CFO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/08/2025
Last updated	10/08/2025 - About 8 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ST PAUL PLACE SPECIALISTS, INC.

Contact Information

Specialty

Gynecologic Oncology

Nurse Practitioner

Physician Assistant

NPI Profile & details for ST PAUL PLACE SPECIALISTS, INC.

Reviews for ST PAUL PLACE SPECIALISTS, INC.