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ST. MARY'S EVERSIDE HEALTH CENTER
NPI 1144092412
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Leonardtown, MD

Active since October 30, 2023
23000 MOAKLEY ST STE 202, LEONARDTOWN, MD 20650(704) 661-1380 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Mary's Everside Health Center NPPES

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

ST. MARY'S EVERSIDE HEALTH CENTER (NPI 1144092412) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Leonardtown, Maryland and active in the NPI registry since October 2023. The organization lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1144092412
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameST. MARY'S EVERSIDE HEALTH CENTER
Location Address23000 MOAKLEY ST STE 202Leonardtown, MD 20650-2917
Mailing Address1400 Wewatta St Ste 350Denver, CO 80202-5553
Phone(704) 661-1380
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateOctober 30, 2023
NPPES CertifiedOctober 30, 2023
✔ NPI 1144092412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
23000 MOAKLEY ST STE 202, Leonardtown, MD 20650
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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

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 St. Mary's Everside Health Center's NPI number?

The NPI number for St. Mary's Everside Health Center is 1144092412. It was assigned to this organization in the NPPES registry on October 30, 2023.

Where is St. Mary's Everside Health Center located?

St. Mary's Everside Health Center is located at 23000 Moakley St Ste 202, Leonardtown, MD 20650. The listed phone number is (704) 661-1380.

What is St. Mary's Everside Health Center's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for St. Mary's Everside Health Center was last updated on October 30, 2023. 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.