CHESTERTOWN FAMILY MEDICINE PA
NPI 1073630158
Family Medicine in Chestertown, MD

Active since March 23, 2007CLIA 21D0220343 · Waiver
6602 CHURCH HILL RD, SUITE 200, CHESTERTOWN, MD 21620(410) 778-0300(410) 778-0351 Get Directions Write a Review

NPPES record last updated: September 21, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chestertown Family Medicine Pa NPPES

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

CHESTERTOWN FAMILY MEDICINE PA (NPI 1073630158) is a healthcare organization registered as a family medicine in Chestertown, Maryland and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through July 18, 2028 and lists Wayne D Benjamin, President, as its authorized official.

NPPES Registry Identity

NPI1073630158
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHESTERTOWN FAMILY MEDICINE PA
Location Address6602 CHURCH HILL RD, SUITE 200Chestertown, MD 21620-2310
Mailing Address6602 Church Hill Rd, Suite 200Chestertown, MD 21620-2310 · (410) 778-0300 · Fax (410) 778-0351
Fax(410) 778-0351
Organization SubpartNo
Authorized OfficialWayne D BenjaminPresident · (410) 778-0300
Enumeration DateMarch 23, 2007
Last NPPES UpdateSeptember 21, 2009
NPI 1073630158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MD · D16488
Definition
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.
6602 CHURCH HILL RD, Chestertown, MD 21620

Other Identifiers 3

Medicare UPIND75245MD
Medicaid033141400MD
Medicare ID-Type Unspecified552LMD · Provider Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 21D0220343

Chestertown Family Medicine, PA · Chestertown, MD
Active · expires Jul 18, 2028
CLIA Number21D0220343
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2026
Certificate Expiration DateJuly 18, 2028
Laboratory DirectorFrederick Delboy
Laboratory Phone(410) 778-0300
Laboratory LocationChestertown Family Medicine, PA6602 Church Hill Rd Suite 200, Chestertown, MD 21620
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

Social Worker (Clinical)
6602 CHURCH HILL RD, SUITE 500
CHESTERTOWN, MD 21620
Nurse Practitioner (Primary Care)
6602 CHURCH HILL RD, SUITE 200
CHESTERTOWN, MD 21620
Hospice Care, Community Based
6602 CHURCH HILL RD, SUITE 300
CHESTERTOWN, MD 21620
Hospice Care, Community Based
6602 CHURCH HILL RD, SUITE 300
CHESTERTOWN, MD 21620
Family Medicine
6602 CHURCH HILL RD, SUITE 200
CHESTERTOWN, MD 21620
General Practice
6602 CHURCH HILL RD, SUITE 500
CHESTERTOWN, MD 21620
Clinic/Center (Primary Care)
6602 CHURCH HILL RD, SUITE 250
CHESTERTOWN, MD 21620
Pediatrics
6602 CHURCH HILL RD, SUITE 400
CHESTERTOWN, MD 21620

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 Chestertown Family Medicine PA's NPI number?

The NPI number for Chestertown Family Medicine PA is 1073630158. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Chestertown Family Medicine PA located?

Chestertown Family Medicine PA is located at 6602 Church Hill Rd Suite 200, Chestertown, MD 21620. The listed phone number is (410) 778-0300.

What is Chestertown Family Medicine PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Chestertown Family Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0220343) is associated with this NPI, valid through July 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chestertown Family Medicine PA was last updated on September 21, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.