CALVERTHEALTH MEDICAL GROUP - NPI 1639916653 - Family Medicine in Prince Frederick, MD

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Calverthealth Medical Group NPPES

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

CALVERTHEALTH MEDICAL GROUP (NPI 1639916653) is a healthcare organization registered as a family medicine in Prince Frederick, Maryland and active in the NPI registry since July 2024. The organization lists Carolyn Heithaus, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639916653

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCALVERTHEALTH MEDICAL GROUP, LLC

Location Address110 HOSPITAL RD STE 111Prince Frederick, MD 20678-4039

Mailing Address100 Hospital RdPrince Frederick, MD 20678-4017 · (410) 414-4791 · Fax (410) 535-8417

Phone(410) 535-4488

Fax(443) 771-8114

Organization SubpartYesParent: Calvert Health System, Inc.

Authorized OfficialCarolyn HeithausCfo · (410) 535-8236

Enumeration DateJuly 9, 2024

Last NPPES UpdateJuly 10, 2024

NPPES CertifiedJuly 10, 2024

✔ NPI 1639916653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

110 HOSPITAL RD STE 111, Prince Frederick, MD 20678

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Other Names 1

Other NameCalverthealth Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

MRS. KATHLEEN ROSE HYDE CRNP

Nurse Practitioner (Family)