UNIVERSITY OF MARYLAND CHARLES REGIONAL OB/GYN
NPI 1205035805
Obstetrics & Gynecology in La Plata, MD
NPI Status: Active since July 13, 2007
Contact Information
605 EAST CHARLES STREET
LA PLATA, MD
ZIP 20646
Phone: (301) 609-4800
Fax: (301) 609-5220
- Organization
- Obstetrics & Gynecology
- CLIA Number: 21D2342255
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 04-15-2028
About UNIVERSITY OF MARYLAND CHARLES REGIONAL OB/GYN
This page provides the complete NPI Profile along with additional information for University Of Maryland Charles Regional Ob/gyn, a women's health care provider established in La Plata, Maryland operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1205035805 assigned on July 2007. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as University Of Maryland Charles Regional Ob/gyn. The authorized official of this NPI record is Stephanie Simm (Physician Relations Specialists)
- NPI
- 1205035805
- Provider Legal Name
- CIVISTA CLINICAL SERVICES, LLC
- Other Organization Name
- UNIVERSITY OF MARYLAND CHARLES REGIONAL OB/GYN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 605 EAST CHARLES STREET LA PLATA, MD 20646
- Location Phone
- (301) 609-4800
- Location Fax
- (301) 609-5220
- Mailing Address
- 605 EAST CHARLES STREET LA PLATA, MD 20646
- Mailing Phone
- (301) 609-4800
- Mailing Fax
- (301) 609-5220
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-13-2007
- Last Update Date
- 05-15-2015
- Code Navigator
Women's health care providers like University Of Maryland Charles Regional Ob/gyn treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2342255
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- April 16, 2026
- Certificate Expiration Date
- April 15, 2028
- Laboratory Director
- DR. VLADIMIR KAKITELASHVILI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to University Of Maryland Charles Regional Ob/gyn to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205035805, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 45 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205035805, enumerated as an "organization" on July 13, 2007.
The provider is located at 605 EAST CHARLES STREET LA PLATA, MD 20646 and the phone number is (301) 609-4800.
Obstetrics & Gynecology with taxonomy code 207V00000X.
