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CHESAPEAKE SPECIALTY CARE
NPI 1053140640
Specialist in Westminster, MD

Active since July 31, 2024CLIA Certified · 4 labs
410 MALCOLM DR STE E, WESTMINSTER, MD 21157(410) 356-2626 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chesapeake Specialty Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHESAPEAKE SPECIALTY CARE (NPI 1053140640) is a healthcare organization registered as a specialist in Westminster, Maryland and active in the NPI registry since July 2024. The organization holds 4 active CLIA laboratory certificates and lists Erin Bezek, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1053140640
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameANNAPOLIS ENT SURGICAL CENTER LLC
Location Address410 MALCOLM DR STE EWestminster, MD 21157-6160
Mailing Address410 Malcolm Dr Ste EWestminster, MD 21157-6160
Phone(410) 356-2626
Organization SubpartNo
Authorized OfficialErin BezekCredentialing Coordinator · (410) 266-6267
Enumeration DateJuly 31, 2024
Last NPPES UpdateAugust 1, 2024
NPPES CertifiedAugust 1, 2024
✔ NPI 1053140640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
410 MALCOLM DR STE E, Westminster, MD 21157
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Other Names 1

Doing Business AsChesapeake Specialty Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2336946

Chesapeake Specialty Care A Member Of Univ Of MD · Westminster, MD
Active · expires Jan 13, 2028
CLIA Number21D2336946
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorTam Nguyen
Laboratory Phone(410) 356-2626
Laboratory LocationChesapeake Specialty Care A Member Of Univ Of MD410 Malcolm Dr Suite E, Westminster, MD 21157
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2260838

Chesapeake Specialty Care Member Of Univ Of MD Spe · Owings Mills, MD
Active · expires May 23, 2028
CLIA Number21D2260838
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorTam Nguyen
Laboratory Phone(410) 356-2626
Laboratory LocationChesapeake Specialty Care Member Of Univ Of MD Spe23 Crossroads Dr Suite 400, Owings Mills, MD 21117
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D0998029

Annapolis Ent Surgical Center LLC · Annapolis, MD
Active · expires Apr 2, 2028
CLIA Number21D0998029
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorDr. Matthew A. Hillburn
Laboratory Phone(410) 266-6267
Laboratory LocationAnnapolis Ent Surgical Center LLC2002 Medical Parkway Sajak Pavilion Ste 150, Annapolis, MD 21401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2336942

Chesapeake Specialty Care A Member Of Univ Of MD · Rosedale, MD
Active · expires Jan 13, 2028
CLIA Number21D2336942
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorTam Nguyen
Laboratory Phone(410) 356-2626
Laboratory LocationChesapeake Specialty Care A Member Of Univ Of MD5233 King Ave Suite 112, Rosedale, MD 21237
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASIYA RAIFOVNA O'MARRA PA-C
Physician Assistant
410 MALCOLM DR STE E
WESTMINSTER, MD 21157
Carroll County (410) 876-9300
UNIVERSITY OF MARYLAND SPECIALTY CARE NETWORK LLC
Audiologist
410 MALCOLM DR STE E
WESTMINSTER, MD 21157
Carroll County (410) 356-2626
UNIVERSITY OF MARYLAND SPECIALTY CARE NETWORK LLC
Specialist
410 MALCOLM DR STE E
WESTMINSTER, MD 21157
Carroll County (410) 356-2626
ANNAPOLIS ENT SURGICAL CENTER LLC
Audiologist
410 MALCOLM DR STE E
WESTMINSTER, MD 21157
Carroll County (410) 356-2626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annapolis Ent Surgical Center LLC's NPI number?

The NPI number for Annapolis Ent Surgical Center LLC is 1053140640. It was assigned to this organization in the NPPES registry on July 31, 2024. The provider is doing business as Chesapeake Specialty Care.

Where is Annapolis Ent Surgical Center LLC located?

Annapolis Ent Surgical Center LLC is located at 410 Malcolm Dr Ste E, Westminster, MD 21157. The listed phone number is (410) 356-2626.

What is Annapolis Ent Surgical Center LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Annapolis Ent Surgical Center LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Annapolis Ent Surgical Center LLC was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.