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CALVERTHEALTH MEDICAL GROUP, LLC
NPI 1104663970
Family Medicine in Prince Frederick, MD

Active since July 10, 2024
625 SOLOMONS ISLAND RD N, PRINCE FREDERICK, MD 20678(410) 414-2788(410) 535-8795 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Calverthealth Medical Group, Llc NPPES

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

CALVERTHEALTH MEDICAL GROUP, LLC (NPI 1104663970) is a healthcare organization registered as a family medicine in Prince Frederick, Maryland and active in the NPI registry since July 2024. The organization lists Carolyn Heithaus, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104663970
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCALVERTHEALTH MEDICAL GROUP, LLC
Location Address625 SOLOMONS ISLAND RD NPrince Frederick, MD 20678-3915
Mailing Address100 Hospital RdPrince Frederick, MD 20678-4017 · (410) 414-4791 · Fax (410) 535-8417
Phone(410) 414-2788
Fax(410) 535-8795
Organization SubpartYesParent: Calvert Health System, Inc.
Authorized OfficialCarolyn HeithausCfo · (410) 535-8236
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1104663970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X
Also ListedSurgeryTaxonomy 208600000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
625 SOLOMONS ISLAND RD N, Prince Frederick, MD 20678
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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

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 Calverthealth Medical Group, LLC's NPI number?

The NPI number for Calverthealth Medical Group, LLC is 1104663970. It was assigned to this organization in the NPPES registry on July 10, 2024.

Where is Calverthealth Medical Group, LLC located?

Calverthealth Medical Group, LLC is located at 625 Solomons Island Rd N, Prince Frederick, MD 20678. The listed phone number is (410) 414-2788.

What is Calverthealth Medical Group, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Calverthealth Medical Group, LLC was last updated on July 10, 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.