Pax River Medical Clinic, Llc in Lexington Park - General Practice
Pax River Medical Clinic, Llc - NPI 1083807085
Pax River Medical Clinic, Llc is a General Practice in Lexington Park, Maryland. Pax River Medical Clinic, Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Pax River Medical Clinic, Llc is 1083807085. The last update date is 2014-05-09.
Pax River Medical Clinic, Llc's current location address is 46940 S Shangri La Dr, Lexington Park, Maryland. You can contact this provider via phone number 3018638101 and fax number 3018638130. The mailing address for Pax River Medical Clinic, Llc is 46940 S Shangri La Dr, Lexington Park, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pax River Medical Clinic, Llc |
|---|---|
| Address | 46940 S Shangri La Dr, Lexington Park, Maryland |
| Phone Number | 3018638101 |
| Fax Number | 3018638130 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Martin Ann Katherine |
| Credentials | DO |
| Telephone Number | 3018638101 |
NPI Number Detail
| NPI Number | 1083807085 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2014-05-09 |
Provider Mailing Address Detail
| Address | 46940 S Shangri La Dr |
|---|---|
| City | Lexington Park |
| State | Maryland (MD) |
| Post Code | 206531037 |
| Phone Number | 3018638101 |
| Fax Number | 3018638130 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | H0055958 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1437267986 | MD | INDIVIDUAL NPI # | |
| 11218600 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pax River Medical Clinic, Llc by the Centers for Medicare & Medicaid Services?
The Pax River Medical Clinic, Llc has been assigned the NPI (National Provider Identifier) 1083807085 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Pax River Medical Clinic, Llc's physical address?
The Pax River Medical Clinic, Llc is physically located at 46940 S Shangri La Dr, in the city of Lexington Park, MD, with the postal code 206531037.
What is Pax River Medical Clinic, Llc's area of expertise and its corresponding taxonomy classification?
The Pax River Medical Clinic, Llc's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Pax River Medical Clinic, Llc receive its 1083807085 assignment from the Centers for Medicare & Medicaid Services?
The Pax River Medical Clinic, Llc was assigned its 1083807085 by the Centers for Medicare & Medicaid Services on 2007-08-22.
When was the information regarding Pax River Medical Clinic, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pax River Medical Clinic, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-05-09.