CHILDREN'S MEDICAL GROUP, P.A.
NPI 1528165750
Specialist in Cumberland, MD

NPI Status: Active since September 20, 2006

Contact Information

500 GREENE ST
CUMBERLAND, MD
ZIP 21502
Phone: (301) 724-7616
Fax: (301) 724-4811

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  • Organization
  • Specialist
  • CLIA Number: 21D0220037
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-19-2027

About CHILDREN'S MEDICAL GROUP, P.A.

This page provides the complete NPI Profile along with additional information for Children's Medical Group, P.a., a provider established in Cumberland, Maryland operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1528165750 assigned on September 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 14 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 Mrs. Cherie Louise Wilson (Office Manager)

NPI
1528165750
Provider Name
CHILDREN'S MEDICAL GROUP, P.A.
Entity Type
Organization
Location Address
500 GREENE ST CUMBERLAND, MD 21502
Location Phone
(301) 724-7616
Location Fax
(301) 724-4811
Mailing Address
500 GREENE ST CUMBERLAND, MD 21502
Mailing Phone
(301) 724-7616
Mailing Fax
(301) 724-4811
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2006
Last Update Date
09-30-2011
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. CHERIE LOUISE WILSON

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(301) 724-7616

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
S314MEDICARE ID-TYPE UNSPECIFIED (04)ID FOR ENTITY - MEDICARE
0008109000MEDICAID (05)WV 
910551400MEDICAID (05)MD 

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
21D0220037
Facility Type
Physician Office
Certificate Effective Date
May 20, 2025
Certificate Expiration Date
May 19, 2027
Laboratory Director
MICHAEL A. LEVITAS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Children's Medical Group, P.a. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for CHILDREN'S MEDICAL GROUP, P.A.

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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.
1528165750
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25482610710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 2 + 6 + 1 + 0 + 7 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1528165750 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023010436 SUSAN M NUBER M.D.
Individual
Pediatrics500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1437151867 ROBERT J DAWSON M.D.
Individual
Pediatrics500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1043212459 MICHAEL LEVITAS M.D.
Individual
Pediatrics500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1750383162 DEBRA B HURTT M.D.
Individual
Pediatrics500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1619979051 RODNEY A WILLIAMS M.D.
Individual
Pediatrics500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1184616062 BYRON A HAWORTH D.O.
Individual
Pediatrics500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1275525164 RANDALL A STROUP P.A.C.
Individual
Physician Assistant500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1851383749 KANDY FINK LEVASSEUR C.R.N.P.
Individual
Nurse Practitioner (Pediatrics)500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1669086880CHILDREN'S MEDICAL GROUP, P.A.
Organization
Psychologist (Clinical)500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1902398662 SORIAYAH MARIE ZAGHAB-MATHEWS MD
Individual
Pediatrics500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1568987840MRS. NIKKOLE AMANDA REAMS CRNP
Individual
Nurse Practitioner (Pediatrics)500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616
1124010004 JACQUELYN P BAUER C.R.N.P.
Individual
Nurse Practitioner (Pediatrics)500 GREENE ST
CUMBERLAND, MD 21502
(301) 724-7616

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528165750, enumerated in the NPI registry as an "organization" on September 20, 2006

The provider is located at 500 Greene St Cumberland, Md 21502 and the phone number is (301) 724-7616

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 21D0220037 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on September 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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