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Contact Information

CALVERTHEALTH MEDICAL GROUP, LLC
130 HOSPITAL RD STE 201
PRINCE FREDERICK, MD20678-4055
 Phone: 410-414-4700
 Fax: 410-286-7907
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CALVERTHEALTH MEDICAL GROUP, LLC

NPI Number 1689411530
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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