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EASTERN SHORE HOSPITAL CENTER/PHYSICIAN GROUP
NPI 1760412126
Psychiatric Hospital in Cambridge, MD

Active since July 03, 2006CLIA 21D0923023 · Waiver
5262 WOODS RD, EASTERN SHORE HOSPITAL CENTER, CAMBRIDGE, MD 21613(410) 221-2300 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern Shore Hospital Center/physician Group NPPES

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

EASTERN SHORE HOSPITAL CENTER/PHYSICIAN GROUP (NPI 1760412126) is a healthcare organization registered as a psychiatric hospital in Cambridge, Maryland and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists Mary Kay Noren, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1760412126
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameEASTERN SHORE HOSPITAL CENTER/PHYSICIAN GROUP
Location Address5262 WOODS RD, EASTERN SHORE HOSPITAL CENTERCambridge, MD 21613-3796
Mailing Address5262 Woods Rd, Eastern Shore Hospital CenterCambridge, MD 21613-3796 · (410) 221-2300
Phone(410) 221-2300
Organization SubpartNo
Authorized OfficialMary Kay NorenChief Executive Officer · (410) 221-2525
Enumeration DateJuly 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760412126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in MD · 09003
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
5262 WOODS RD, Cambridge, MD 21613
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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 of Waiver 21D0923023

Eastern Shore Hospital Center · Cambridge, MD
Active · expires Dec 11, 2026
CLIA Number21D0923023
Laboratory TypeInpatient Psychiatric Fac
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorDr. Asif A. Fakhri
Laboratory Phone(410) 221-2300
Laboratory LocationEastern Shore Hospital Center5262 Woods Rd Lab Supervisor Dept Of Med Svcs, Cambridge, MD 21613
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. SARAH ILANA IACOBOVICI M.D.
Psychiatry & Neurology (Forensic Psychiatry)
5262 WOODS RD
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2537
TAYLOR SMITH LCSW-C
Social Worker (Clinical)
5262 WOODS RD
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2300
DR. CAITLIN DAIL PSY.D.
Psychologist
5262 WOODS RD
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2348
MILTON WILLIAM FEDER M.D.
Psychiatry & Neurology (Psychiatry)
5262 WOODS RD, EASTERN SHORE HOSPITAL CENTER
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2430
DR. VALENTIN SAMBORSCHI MD
Psychiatry & Neurology (Psychiatry)
5262 WOODS RD, EASTERN SHORE HOSPITAL CENTER
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2300
YVETTE DANIELLE KOVNER PSYD.
Psychologist (Clinical)
5262 WOODS RD
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2340
DR. ASIF ALI FAKHRI M.D.
Nuclear Medicine
5262 WOODS RD
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2300
DR. DORIS STAEUDLE PSYD
Psychologist (Clinical)
5262 WOODS RD
CAMBRIDGE, MD 21613
Dorchester County (410) 221-2300

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 Eastern Shore Hospital Center/Physician Group's NPI number?

The NPI number for Eastern Shore Hospital Center/Physician Group is 1760412126. It was assigned to this organization in the NPPES registry on July 3, 2006.

Where is Eastern Shore Hospital Center/Physician Group located?

Eastern Shore Hospital Center/Physician Group is located at 5262 Woods Rd Eastern Shore Hospital Center, Cambridge, MD 21613. The listed phone number is (410) 221-2300.

What is Eastern Shore Hospital Center/Physician Group's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does Eastern Shore Hospital Center/Physician Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0923023) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastern Shore Hospital Center/Physician Group 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.