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CECIL COUNTY PEDIATRICS
NPI 1780639096
Pediatrics - Adolescent Medicine in Elkton, MD

Active since May 24, 2006CLIA 21D0221361 · Waiver
719 N BRIDGE ST, ELKTON, MD 21921(410) 398-2700(410) 620-1249 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Cecil County Pediatrics NPPES

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

CECIL COUNTY PEDIATRICS (NPI 1780639096) is a healthcare organization registered as an adolescent medicine in Elkton, Maryland and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Ddong Hee Park, President, as its authorized official.

NPPES Registry Identity

NPI1780639096
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameCECIL COUNTY PEDIATRICS
Location Address719 N BRIDGE STElkton, MD 21921-5309
Mailing Address719 N Bridge StElkton, MD 21921-5309 · (410) 398-2700 · Fax (410) 620-1249
Phone(410) 398-2700
Fax(410) 620-1249
Organization SubpartNo
Authorized OfficialDdong Hee ParkPresident · (410) 398-2700
Enumeration DateMay 24, 2006
Last NPPES UpdateMay 17, 20232 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
✔ NPI 1780639096 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.
719 N BRIDGE ST, Elkton, MD 21921
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

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 21D0221361

Cecil County Pediatrics PA · Elkton, MD
Active · expires Dec 31, 2026
CLIA Number21D0221361
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorDong H. Park MD
Laboratory Phone(410) 398-2700
Laboratory LocationCecil County Pediatrics PA719 N Bridge Street, Elkton, MD 21921
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

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

DR. DONG HEE PARK M.D.
Specialist
719 N BRIDGE ST
ELKTON, MD 21921
Cecil County (410) 398-2700

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 Cecil County Pediatrics's NPI number?

The NPI number for Cecil County Pediatrics is 1780639096. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Cecil County Pediatrics located?

Cecil County Pediatrics is located at 719 N Bridge St, Elkton, MD 21921. The listed phone number is (410) 398-2700.

What is Cecil County Pediatrics's specialty?

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

Does Cecil County Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0221361) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cecil County Pediatrics accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Cecil County Pediatrics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cecil County Pediatrics was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.