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Contact Information

CALVERTHEALTH MEDICAL GROUP, LLC
110 HOSPITAL RD STE 203
PRINCE FREDERICK, MD20678-4045
 Phone: 410-414-4740
 Fax: 410-414-4741
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CALVERTHEALTH MEDICAL GROUP, LLC

NPI # 1013754969
LBN Legal business name CALVERTHEALTH MEDICAL GROUP, LLC
Authorized official CAROLYN HEITHAUS - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/09/2024
Last updated 07/10/2024 - More than a year 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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