PAUL AMBUSH MD, PA
NPI 1154110351
Pediatrics in Clarksville, MD

Q: What is Paul Ambush MD, PA's NPI number?

The NPI number for Paul Ambush MD, PA is 1154110351. It was assigned to this organization in the NPPES registry on May 5, 2025.

Q: What is Paul Ambush MD, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 05, 2025CLIA 21D1013259 · Waiver

6100 DAYLONG LN STE 210, CLARKSVILLE, MD 21029(410) 531-7566(410) 531-9790 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Paul Ambush Md, Pa NPPES

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

PAUL AMBUSH MD, PA (NPI 1154110351) is a healthcare organization registered as a pediatrics in Clarksville, Maryland and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Paul Ambush, Officer, as its authorized official.

NPPES Registry Identity

NPI1154110351

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePAUL AMBUSH MD, PA

Location Address6100 DAYLONG LN STE 210Clarksville, MD 21029-1655

Mailing Address6030 Daybreak Cir Ste A150Clarksville, MD 21029-1638 · (410) 707-5956

Phone(410) 531-7566

Fax(410) 531-9790

Organization SubpartNo

Authorized OfficialPaul AmbushOfficer · (410) 531-7566

Enumeration DateMay 5, 2025

NPPES CertifiedMay 4, 2025

✔ NPI 1154110351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

6100 DAYLONG LN STE 210, Clarksville, MD 21029

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Other Names 1

Doing Business AsPaul Ambush Md, Pa

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 21D1013259

Paul Ambush MD PA · Clarksville, MD

Active · expires Jun 4, 2027

CLIA Number21D1013259

Laboratory TypePhysician Office

Certificate Effective DateJune 5, 2025

Certificate Expiration DateJune 4, 2027

Laboratory DirectorPaul F. Ambush

Laboratory Phone(410) 531-7566

Laboratory LocationPaul Ambush MD PA6100 Daylong Lane #210, Clarksville, MD 21029

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

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

DR. PAUL FRANKLIN AMBUSH JR. M.D.

Pediatrics

6100 DAYLONG LN STE 210
CLARKSVILLE, MD 21029

Howard County (410) 531-7566

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 Paul Ambush MD, PA's NPI number?

The NPI number for Paul Ambush MD, PA is 1154110351. It was assigned to this organization in the NPPES registry on May 5, 2025.

Where is Paul Ambush MD, PA located?

Paul Ambush MD, PA is located at 6100 Daylong Ln Ste 210, Clarksville, MD 21029. The listed phone number is (410) 531-7566.

What is Paul Ambush MD, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Paul Ambush MD, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1013259) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Paul Ambush MD, PA was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.