# CALVERTHEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CALVERT HEALTH SYSTEM, INC
- **Other names:** CalvertHealth Medical Group, Calvert Physician Associates, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386871390
- **Legal business name:** CALVERT HEALTH SYSTEM, INC
- **Authorized official:** MRS. CAROLYN HEITHAUS (CFO)
- **Authorized official phone:** (410) 535-8236

## Contact information

- **Practice address:** 100 HOSPITAL ROAD, PRINCE FREDERICK, MD 20678-4017
- **Practice address phone:** (410) 535-8248
- **Practice address fax:** (410) 535-8417
- **Mailing address:** 100 HOSPITAL ROAD, PRINCE FREDERICK, MD 20678-4017
- **Mailing address phone:** (410) 535-8248
- **Mailing address fax:** (410) 535-8417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/17/2009
- **Last updated:** 02/13/2024