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CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA
NPI 1699894857
Pediatrics - Adolescent Medicine in Salisbury, MD

Active since March 28, 2007
106 MILFORD ST STE 201, SALISBURY, MD 21804(410) 543-1616(410) 543-8497 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2024, Sep 10, 2024, Jun 22, 2023 and 2 more (5 updates tracked since 2022).

About Chesapeake Pediatric & Adolescent Associates, Pa NPPES

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

CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA (NPI 1699894857) is a healthcare organization registered as an adolescent medicine in Salisbury, Maryland and active in the NPI registry since March 2007. The organization lists Kim Watson, Operations Coordinator, as its authorized official.

NPPES Registry Identity

NPI1699894857
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameCHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA
Location Address106 MILFORD ST STE 201Salisbury, MD 21804-6959
Mailing Address106 Milford St Ste 201Salisbury, MD 21804-6959 · (410) 543-1616 · Fax (410) 543-8497
Phone(410) 543-1616
Fax(410) 543-8497
Organization SubpartNo
Authorized OfficialKim WatsonOperations Coordinator · (410) 543-1616
Enumeration DateMarch 28, 2007
Last NPPES UpdateSeptember 16, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1699894857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

106 MILFORD ST STE 201, Salisbury, MD 21804
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Other Identifiers 11

Other283952MD · Coventry Healthcare
Medicaid430401201MD
OtherS758CHMD · Blue Cross Blue Shield
Other826426MD · Priority Partners
OtherG113-0000MD · Carefirst
Other213297MD · United Healthcare
OtherG113MD · Blue Cross Blue Choice
Other188017MD · Amerigroup Community Care
Other430401200MD · Maryland Physicians Care
Medicaid430401200MD
Other4560463MD · Aetna

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 9

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

CARRIE ANN DAWES APN
Nurse Practitioner
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1616
MOHAN KUMAR THUMMALAPALLI M.D.
Pediatrics
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1616
LISA TAYMAN CRNP
Nurse Practitioner (Family)
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1616
DR. MITHILA JEGATHESAN MD
Pediatrics
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1616
LEAH PAIGE BULLOCKS-HAYNES LMSW
Social Worker
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1616
STACEY HUMPHREYS MSN, RN, CPNP
Nurse Practitioner (Pediatrics)
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1616
REGINALD HARRISON SHOCKLEY SR. LCSW-C
Social Worker (Clinical)
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 334-6961
CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA
Counselor (Professional)
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1616

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 Pediatric & Adolescent Associates, PA's NPI number?

The NPI number for Chesapeake Pediatric & Adolescent Associates, PA is 1699894857. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Chesapeake Pediatric & Adolescent Associates, PA located?

Chesapeake Pediatric & Adolescent Associates, PA is located at 106 Milford St Ste 201, Salisbury, MD 21804. The listed phone number is (410) 543-1616.

What is Chesapeake Pediatric & Adolescent Associates, PA's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Chesapeake Pediatric & Adolescent Associates, PA was last updated on September 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.