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DAVIDSONVILLE PEDIATRICS
NPI 1679657209
Non-Pharmacy Dispensing Site in Davidsonville, MD

Active since October 24, 2006
2772 RUTLAND RD, DAVIDSONVILLE, MD 21035(410) 269-7828(410) 269-0510 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Davidsonville Pediatrics NPPES

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

DAVIDSONVILLE PEDIATRICS (NPI 1679657209) is a healthcare organization registered as a non-pharmacy dispensing site in Davidsonville, Maryland and active in the NPI registry since October 2006. The organization lists Direndia Shackelford, Managed Care Specialist, as its authorized official.

NPPES Registry Identity

NPI1679657209
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDAVIDSONVILLE PEDIATRICS
Location Address2772 RUTLAND RDDavidsonville, MD 21035-1228
Mailing Address2772 Rutland RdDavidsonville, MD 21035-1228
Phone(410) 269-7828
Fax(410) 269-0510
Organization SubpartNo
Authorized OfficialDirendia ShackelfordManaged Care Specialist · (800) 654-0889
Enumeration DateOctober 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1679657209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in MD · D0013889
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
2772 RUTLAND RD, Davidsonville, MD 21035
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Other Names 1

Doing Business AsDavidsonville Pediatrics

Other Identifiers 1

Other2124410Other Id Number-commercial Number

Other Providers at the Same Location NPPES 19

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

MS. REBECCA M DAMORE CPNP
Registered Nurse
2772 RUTLAND RD
DAVIDSONVILLE, MD 21035
Anne Arundel County (443) 332-4260
EMILY BURGESS CRNP
Nurse Practitioner (Family)
2772 RUTLAND RD
DAVIDSONVILLE, MD 21035
Anne Arundel County (410) 721-2273
KATHRYN A. LANCIANO C.R.N.P.
Nurse Practitioner (Pediatrics)
2772 RUTLAND RD
DAVIDSONVILLE, MD 21035
Anne Arundel County (410) 798-6133
KIESA NICHOL BRYANT PA
Physician Assistant
2772 RUTLAND RD
DAVIDSONVILLE, MD 21035
Anne Arundel County (410) 721-0311
DR. ROBERT G. GRAW JR. M.D.
Pediatrics
2772 RUTLAND RD
DAVIDSONVILLE, MD 21035
Anne Arundel County (410) 798-1705
DR. CAROLE ANNE SAMANGO-SPROUSE ED.D.
Developmental Therapist
2772 RUTLAND RD
DAVIDSONVILLE, MD 21035
Anne Arundel County (410) 798-4805
MS. LINDA M. ROBB PA-C
Physician Assistant
2772 RUTLAND RD
DAVIDSONVILLE, MD 21035
Anne Arundel County (443) 332-4380
KATHLEEN MARY BARTLEY P.A.
Physician Assistant (Medical)
2772 RUTLAND RD
DAVIDSONVILLE, MD 21035
Anne Arundel County (443) 332-4380

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 Davidsonville Pediatrics's NPI number?

The NPI number for Davidsonville Pediatrics is 1679657209. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Davidsonville Pediatrics located?

Davidsonville Pediatrics is located at 2772 Rutland Rd, Davidsonville, MD 21035. The listed phone number is (410) 269-7828.

What is Davidsonville Pediatrics's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Davidsonville Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.