SOUTHERN MARYLAND ORTHOPAEDIC & SPORTS MEDICI NE CENTER PC - NPI 1285750059

Q: What is Southern Maryland Orthopaedic & Sports Medici NE Center PC's specialty?

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

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About Southern Maryland Orthopaedic & Sports Medici Ne Center Pc NPPES

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

SOUTHERN MARYLAND ORTHOPAEDIC & SPORTS MEDICI NE CENTER PC (NPI 1285750059) is a healthcare organization registered as a specialist in Leonardtown, Maryland and active in the NPI registry since March 2007. The organization lists Heidi Mattingly, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1285750059

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTHERN MARYLAND ORTHOPAEDIC & SPORTS MEDICI NE CENTER PC

Location Address23000 MOAKLEY ST, SUITE 102Leonardtown, MD 20650-2915

Mailing Address23000 Moakley St, Suite 102Leonardtown, MD 20650-2915 · (301) 475-5555 · Fax (301) 475-8535

Phone(301) 475-5555

Fax(301) 475-8535

Organization SubpartNo

Authorized OfficialHeidi MattinglyPractice Administrator · (301) 475-5555

Enumeration DateMarch 22, 2007

Last NPPES UpdateFebruary 9, 2009

✔ NPI 1285750059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

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.

23000 MOAKLEY ST, Leonardtown, MD 20650

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Other Identifiers 3

Other2878MD · Bcbs

Medicare ID-Type UnspecifiedH490MD

Medicaid225731900MD

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 18

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

MISS CELIA MARIE LENKER PT, DPT

Physical Therapist

23000 MOAKLEY ST, SUITE 101
LEONARDTOWN, MD 20650

St. Mary's County (301) 475-5830

DR. MICHAEL T TRAVIS MD

Orthopaedic Surgery (Hand Surgery)

23000 MOAKLEY ST, SUITE 102
LEONARDTOWN, MD 20650

St. Mary's County (301) 475-5555

KASHMIRA SATGHAR PT

Physical Therapist

23000 MOAKLEY ST, SUITE 101
LEONARDTOWN, MD 20650

St. Mary's County (301) 475-5830

LYDIA ELIZABETH PAVELKA DPT

Physical Therapist

23000 MOAKLEY ST, SUITE 101
LEONARDTOWN, MD 20650

St. Mary's County (301) 475-5830

MR. BENJAMIN CHUKWUMA IGWE P.T.

Physical Therapist (Orthopedic)

23000 MOAKLEY ST, SUITE 101
LEONARDTOWN, MD 20650

St. Mary's County (301) 475-6507

DR. LAWRENCE EDWARD TILLEY M.D.

Obstetrics & Gynecology

23000 MOAKLEY ST, #203
LEONARDTOWN, MD 20650

St. Mary's County (301) 475-8599

RACHEL T HASTINGS PA-C

Physician Assistant

23000 MOAKLEY ST, SUITE 102
LEONARDTOWN, MD 20650

St. Mary's County (301) 475-5555

LAWRENCE E TILLEY, MDPA

Obstetrics & Gynecology

23000 MOAKLEY ST, SUITE 203
LEONARDTOWN, MD 20650

St. Mary's County (301) 475-8599

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 Southern Maryland Orthopaedic & Sports Medici NE Center PC's NPI number?

The NPI number for Southern Maryland Orthopaedic & Sports Medici NE Center PC is 1285750059. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Southern Maryland Orthopaedic & Sports Medici NE Center PC located?

Southern Maryland Orthopaedic & Sports Medici NE Center PC is located at 23000 Moakley St Suite 102, Leonardtown, MD 20650. The listed phone number is (301) 475-5555.

What is Southern Maryland Orthopaedic & Sports Medici NE Center PC'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 Southern Maryland Orthopaedic & Sports Medici NE Center PC was last updated on February 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.