Organization
CALVERTHEALTH MEDICAL GROUP, LLC
Active
Parent organization
CALVERT HEALTH SYSTEM, INC
Other names
CalvertHealth Medical Group, Calvert Physician Associates, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALVERT HEALTH SYSTEM, INC
Authorized official
MRS. CAROLYN HEITHAUS (CFO)
(410) 535-8236
Entity
Organization
Contact information
Practice address
100 HOSPITAL ROAD, PRINCE FREDERICK, MD 20678-4017
(410) 535-8248
(410) 535-8417
Mailing address
100 HOSPITAL ROAD, PRINCE FREDERICK, MD 20678-4017
(410) 535-8248
(410) 535-8417
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419328800
—
MD
Enumeration date
06/17/2009
Last updated
02/13/2024
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