MAGNOLIA FAMILY HEALTH LLC
NPI 1972103661
Nurse Practitioner - Primary Care in Cumberland, MD

NPI Status: Active since October 30, 2020

Contact Information

925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502
Phone: (301) 759-3800

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  • Organization
  • Nurse Practitioner
  • Primary Care
  • CLIA Number: 21D2258084
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 04-17-2026

About MAGNOLIA FAMILY HEALTH LLC

This page provides the complete NPI Profile along with additional information for Magnolia Family Health Llc, a provider established in Cumberland, Maryland operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1972103661 assigned on October 2020. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Faith Ann Rodeheaver Crnp (Owner/provider)

NPI
1972103661
Provider Name
MAGNOLIA FAMILY HEALTH LLC
Entity Type
Organization
Location Address
925 BISHOP WALSH RD CUMBERLAND, MD 21502
Location Phone
(301) 759-3800
Mailing Address
925 BISHOP WALSH RD CUMBERLAND, MD 21502
Mailing Phone
(301) 759-3800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-30-2020
Last Update Date
10-30-2020
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A nurse practitioner (NP) like Magnolia Family Health Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FAITH ANN RODEHEAVER CRNP

Authorized Official Title
OWNER/PROVIDER
Authorized Official Phone
(301) 759-3800

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2258084
Facility Type
Practitioner Other
Certificate Effective Date
April 18, 2024
Certificate Expiration Date
April 17, 2026
Laboratory Director
FAITH A. RODEHEAVER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Magnolia Family Health Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972103661
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29142206612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 2 + 0 + 6 + 6 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1972103661 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

DR. WONSOCK SHIN M.D.

Internal Medicine

925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502

(301) 759-3800

WONSOCK SHIN MD LLC

Internal Medicine

925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502

(301) 759-3800

DR. MOHAMMAD ALI BEHNAM MD

Obstetrics & Gynecology

925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502

(301) 759-3924

MRS. HEATHER LEA PESTA MS LCPC

Counselor

925 BISHOP WALSH RD
SUITE 3
CUMBERLAND, MD
ZIP 21502

(301) 777-0451

KAREN LOUISE GOLDEN ED.D.

Psychologist

925 BISHOP WALSH RD
SUITE 3
CUMBERLAND, MD
ZIP 21502

(301) 777-0451

WONSOCK SHIN MD, LLC

Internal Medicine

925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502

(301) 759-3800

ALI BEHNAM, M.D.,P.A.

Obstetrics & Gynecology

(Gynecology)

925 BISHOP WALSH RD
SUITE # 7
CUMBERLAND, MD
ZIP 21502

(301) 759-3924

DR. HOWARD ROBERT STRAUSS DDS

Dentist

(Oral and Maxillofacial Surgery)

925 BISHOP WALSH RD
STE 2
CUMBERLAND, MD
ZIP 21502

(301) 777-1100

HOWARD R. STRAUSS, DDS, PA

Clinic/Center

(Oral and Maxillofacial Surgery)

925 BISHOP WALSH RD
STE 2
CUMBERLAND, MD
ZIP 21502

(301) 777-1100

WESTERN MARYLAND SURGICENTER LLP

Clinic/Center

(Ambulatory Surgical)

925 BISHOP WALSH RD
STE 2
CUMBERLAND, MD
ZIP 21502

(301) 722-0708

CONNIE JO MORRIS MSN, CRNP, FNP-BC

Nurse Practitioner

(Family)

925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502

(301) 759-3800

DR. GARY L WAGONER MD P A

Family Medicine

925 BISHOP WALSH RD
SUITE 4
CUMBERLAND, MD
ZIP 21502

(301) 777-5326

GARY L WAGONER MD P A

Family Medicine

925 BISHOP WALSH RD
SUITE 4
CUMBERLAND, MD
ZIP 21502

(301) 777-5326

PROACTIVE PAIN AND NEUROLOGY, LLC

Nurse Practitioner

(Primary Care)

925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502

(240) 362-7025

JESSICA EMMA MILLER CRNP

Nurse Practitioner

(Family)

925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502

(240) 362-7025

GRETA J CAIN CRNP

Nurse Practitioner

(Family)

925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502

(240) 362-7025

SHERRY FARRELL FNP-C

Nurse Practitioner

(Family)

925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502

(301) 759-3800

DR. SOHAIB FAZEEL KHAN DDS

Dentist

(Oral and Maxillofacial Surgery)

925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502

(301) 777-1100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972103661, enumerated as an "organization" on October 30, 2020.

The provider is located at 925 BISHOP WALSH RD CUMBERLAND, MD 21502 and the phone number is (301) 759-3800.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.