BLUE HERON MEDICAL GROUP LLC
NPI 1861686313
Internal Medicine in Pocomoke City, MD

Active since August 28, 2007
305 10TH ST, STE 101, POCOMOKE CITY, MD 21851(410) 957-3005(410) 957-0550 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Heron Medical Group Llc NPPES

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

BLUE HERON MEDICAL GROUP LLC (NPI 1861686313) is a healthcare organization registered as an internal medicine in Pocomoke City, Maryland and active in the NPI registry since August 2007. The organization lists Paul Reardon Fleury, Doctor, as its authorized official.

NPPES Registry Identity

NPI1861686313
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLUE HERON MEDICAL GROUP LLC
Location Address305 10TH ST, STE 101Pocomoke City, MD 21851-1607
Mailing Address305 10th St, Ste 101Pocomoke City, MD 21851-1607 · (410) 957-3005 · Fax (410) 957-0550
Fax(410) 957-0550
Organization SubpartNo
Authorized OfficialPaul Reardon FleuryDoctor · (410) 957-3005
Enumeration DateAugust 28, 2007
Last NPPES UpdateMarch 1, 2012
NPI 1861686313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MD · D24872 Licensed in MD · D24871 Licensed in MD · D36576
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License D058928 (MD), D45995 (MD)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License Q37875 (MD)
305 10TH ST, Pocomoke City, MD 21851

Other Identifiers 12

Other1841384625MD · Npi
Other1639269368MD · Npi
Medicare UPINB06742MD
Medicare UPINB69808MD
Other1265491286MD · Npi
Medicare UPINH67937MD
Medicare UPINB69485MD
Other1669558227MD · Npi
Other1992764815MD · Npi
Medicare UPINQ37875MD
Other1245292853MD · Npi
Medicare UPINB69459MD

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

Other Providers at the Same Location NPPES 8

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

Family Medicine
305 10TH ST
POCOMOKE CITY, MD 21851
Physical Therapist
305 10TH ST, SUITE 102
POCOMOKE CITY, MD 21851
Counselor (Mental Health)
305 10TH ST
POCOMOKE CITY, MD 21851
Family Medicine
305 10TH ST, SUITE 101
POCOMOKE, MD 21851
Internal Medicine
305 10TH ST, SUITE 101
POCOMOKE, MD 21851
Pharmacy (Community/Retail Pharmacy)
305 10TH ST, STE 103
POCOMOKE CITY, MD 21851
Clinic/Center (Federally Qualified Health Center (FQHC))
305 10TH ST
POCOMOKE CITY, MD 21851
Internal Medicine
305 10TH ST, SUITE 101
POCOMOKE, MD 21851

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 Blue Heron Medical Group LLC's NPI number?

The NPI number for Blue Heron Medical Group LLC is 1861686313. It was assigned to this organization in the NPPES registry on August 28, 2007.

Where is Blue Heron Medical Group LLC located?

Blue Heron Medical Group LLC is located at 305 10th St Ste 101, Pocomoke City, MD 21851. The listed phone number is (410) 957-3005.

What is Blue Heron Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Blue Heron Medical Group LLC was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.