MIDDLETOWN VALLEY FAMILY MEDICINE, P.A. - NPI 1700861259

Q: What is Middletown Valley Family Medicine, P.A.'s specialty?

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

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About Middletown Valley Family Medicine, P.a. NPPES

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

MIDDLETOWN VALLEY FAMILY MEDICINE, P.A. (NPI 1700861259) is a healthcare organization registered as a specialist in Middletown, Maryland and active in the NPI registry since December 2005. The organization holds a CLIA Microscopy certificate valid through September 28, 2027 and lists Heather M Raithel, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1700861259

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameMIDDLETOWN VALLEY FAMILY MEDICINE, P.A.

Location Address300 S CHURCH STMiddletown, MD 21769-8043

Mailing Address300 S Church StMiddletown, MD 21769-8043 · (301) 371-9000 · Fax (301) 371-8905

Phone(301) 371-9000

Fax(301) 371-8905

Organization SubpartNo

Authorized OfficialHeather M RaithelPractice Administrator · (301) 371-9000

Enumeration DateDecember 7, 2005

Last NPPES UpdateSeptember 17, 2009

✔ NPI 1700861259 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.

300 S CHURCH ST, Middletown, MD 21769

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Other Identifiers 5

OtherH569MD · Bcbs Group Number

Medicaid913961300MD

Medicare PINCE3202MD

Medicare ID-Type UnspecifiedH569MD · Medicare Group Number

OtherH931MD · Bcbs Dc 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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D0220875

Middletown Valley Family Medicine · Middletown, MD

Active · expires Sep 28, 2027

CLIA Number21D0220875

Laboratory TypePhysician Office

Certificate Effective DateSeptember 29, 2025

Certificate Expiration DateSeptember 28, 2027

Laboratory DirectorDr. Erin Farrish

Laboratory Phone(301) 371-9000

Laboratory LocationMiddletown Valley Family Medicine300 South Church Street, Middletown, MD 21769

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 13

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

DR. KEVIN EDWARD HOHL MD

Family Medicine