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ST. MARY'S NEUROLOGY AND SPINE
NPI 1194974360
Specialist in Mechanicsville, MD

Active since September 12, 2008
28105 THREE NOTCH RD # 1C, MECHANICSVILLE, MD 20659(301) 290-1510(301) 290-1574 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Mary's Neurology And Spine NPPES

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

ST. MARY'S NEUROLOGY AND SPINE (NPI 1194974360) is a healthcare organization registered as a specialist in Mechanicsville, Maryland and active in the NPI registry since September 2008. The organization maintains a secondary practice location in Waldorf and lists Ahmed Kafaji, Owner/ Md, as its authorized official.

NPPES Registry Identity

NPI1194974360
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHESAPEAKE NEUROLOGY AND SPINE
Location Address28105 THREE NOTCH RD # 1CMechanicsville, MD 20659-3235
Mailing Address28105 Three Notch Rd # 1cMechanicsville, MD 20659-3235 · (301) 290-1510 · Fax (301) 290-1574
Phone(301) 290-1510
Fax(301) 290-1574
Organization SubpartNo
Authorized OfficialAhmed KafajiOwner/ Md · (301) 290-1510
Enumeration DateSeptember 12, 2008
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1194974360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MD · D0060886
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
28105 THREE NOTCH RD # 1C, Mechanicsville, MD 20659
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Other Names 1

Other NameSt. Mary's Neurology And Spine

Secondary Practice Location 1

Location 111340 Pembrooke Sq Ste 211Waldorf, MD 20603-4808 · Phone (301) 290-1510 · Fax (301) 290-1574

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 2

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

MRS. JENNIFER KATHERINE WADE NP
Nurse Practitioner (Family)
28105 THREE NOTCH RD # 1C
MECHANICSVILLE, MD 20659
St. Mary's County (301) 290-1510
KIMBERLY BYSHEIM CRNP
Nurse Practitioner (Family)
28105 THREE NOTCH RD # 1C
MECHANICSVILLE, MD 20659
St. Mary's County (301) 290-1510

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 Chesapeake Neurology And Spine's NPI number?

The NPI number for Chesapeake Neurology And Spine is 1194974360. It was assigned to this organization in the NPPES registry on September 12, 2008. The provider is also known as St. Mary's Neurology And Spine.

Where is Chesapeake Neurology And Spine located?

Chesapeake Neurology And Spine is located at 28105 Three Notch Rd # 1C, Mechanicsville, MD 20659. The listed phone number is (301) 290-1510.

What is Chesapeake Neurology And Spine's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Chesapeake Neurology And Spine was last updated on February 13, 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.