Organization
ST. CLEMENTS INTERNAL MEDICINE
Active
Parent organization
ST. CLEMENTS MEDICAL CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. CLEMENTS MEDICAL CARE, LLC
Authorized official
DR. THOMAS M WILKINSON M.D. (OWNER/OFFICER)
(301) 997-0611
Entity
Organization
Contact information
Practice address
23130 MOAKLEY ST, LEONARDTOWN, MD 20650-2918
(301) 997-1313
(301) 997-0709
Mailing address
40900 MERCHANTS LN, SUITE 207, LEONARDTOWN, MD 20650-3700
(301) 997-1580
(301) 997-0709
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R063357
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143000900
—
MD
Enumeration date
02/24/2009
Last updated
02/24/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us