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CALVERT OBGYN ASSOCIATES OF SOUTHERN MARYLAND, LLC
NPI 1104940139
Obstetrics & Gynecology in Prince Frederick, MD

Active since March 16, 2007
110 HOSPITAL RD, SUITE 211, PRINCE FREDERICK, MD 20678(410) 535-3642(410) 535-6836 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Calvert Obgyn Associates Of Southern Maryland, Llc NPPES

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

CALVERT OBGYN ASSOCIATES OF SOUTHERN MARYLAND, LLC (NPI 1104940139) is a healthcare organization registered as an obstetrics & gynecology in Prince Frederick, Maryland and active in the NPI registry since March 2007. The organization lists Joseph R Tiralla, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1104940139
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCALVERT OBGYN ASSOCIATES OF SOUTHERN MARYLAND, LLC
Location Address110 HOSPITAL RD, SUITE 211Prince Frederick, MD 20678-4019
Mailing Address110 Hospital Rd, Suite 211Prince Frederick, MD 20678-4019 · (410) 535-3642 · Fax (410) 535-6836
Phone(410) 535-3642
Fax(410) 535-6836
Organization SubpartNo
Authorized OfficialJoseph R TirallaManaging Member · (410) 535-3642
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104940139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
110 HOSPITAL RD, Prince Frederick, MD 20678
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Other Identifiers 6

Other7394046Aetna Us Healthcare Ppo
Other2217716Aetna Us Healthcare Hmo
Other366483Mamsi - Suite 202
OtherKAN9CABlue Shield Of Maryland
Other367313Mamsi - Suite #211
Other6906-0000Blue Shield Dc

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

Other Providers at the Same Location NPPES 20

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

DR. GENE GUY TUDOR MD
Otolaryngology
110 HOSPITAL RD, SUITE 204
PRINCE FREDERICK, MD 20678
Calvert County (410) 414-7288
CASSIUS DIEGO BELFONTE MD
Internal Medicine (Cardiovascular Disease)
110 HOSPITAL RD, SUITE 306
PRINCE FREDERICK, MD 20678
Calvert County (410) 414-6559
DR. BILAL AHMED MD
Internal Medicine (Hematology & Oncology)
110 HOSPITAL RD, SUITE 105
PRINCE FREDERICK, MD 20678
Calvert County (410) 414-9116
DR. APARAJITA K MAHATA MD F.A.C.O.G.
Obstetrics & Gynecology
110 HOSPITAL RD, SUITE 203
PRINCE FREDERICK, MD 20678
Calvert County (410) 414-4740
CALVERT FAMILY PRACTICE ASSOCIATES, P.A.
Family Medicine
110 HOSPITAL RD, SUITE 111
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-4488
DR. RICHARD MICHAEL CIRILLO M.D.
Orthopaedic Surgery
110 HOSPITAL RD, SUITE 201
PRINCE FREDERICK, MD 20678
Calvert County (866) 705-5729
DR. KANAYO EKEADA PHARMD
Pharmacist
110 HOSPITAL RD, SUITE 100
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-3838
MRS. SUSAN YOUNG
Counselor (Professional)
110 HOSPITAL RD, SUITE 302
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5602

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 Calvert Obgyn Associates Of Southern Maryland, LLC's NPI number?

The NPI number for Calvert Obgyn Associates Of Southern Maryland, LLC is 1104940139. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is Calvert Obgyn Associates Of Southern Maryland, LLC located?

Calvert Obgyn Associates Of Southern Maryland, LLC is located at 110 Hospital Rd Suite 211, Prince Frederick, MD 20678. The listed phone number is (410) 535-3642.

What is Calvert Obgyn Associates Of Southern Maryland, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Calvert Obgyn Associates Of Southern Maryland, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.