SOUTHERN MARYLAND ENDOSCOPY CENTER ANESTHESIA
NPI 1750775268
Internal Medicine - Gastroenterology in Clinton, MD

NPI Status: Active since March 23, 2015

Contact Information

7700 OLD BRANCH AVE
SUITE A103
CLINTON, MD
ZIP 20735
Phone: (301) 877-4140

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  • Organization
  • Internal Medicine
  • Gastroenterology
  • CLIA Number: 21D0993251
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 11-07-2025

About SOUTHERN MARYLAND ENDOSCOPY CENTER ANESTHESIA

This page provides the complete NPI Profile along with additional information for Southern Maryland Endoscopy Center Anesthesia, an internist established in Clinton, Maryland operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1750775268 assigned on March 2015. The practitioner's primary taxonomy code is 207RG0100X with license number 207RG0100X (MD). The provider is registered as an organization and their NPI record was last updated 10 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 Dr. James S Chesley Jr. Md (Medical Director)

NPI
1750775268
Provider Name
SOUTHERN MARYLAND ENDOSCOPY CENTER ANESTHESIA
Entity Type
Organization
Location Address
7700 OLD BRANCH AVE SUITE A103 CLINTON, MD 20735
Location Phone
(301) 877-4140
Mailing Address
7700 OLD BRANCH AVE SUITE A103 CLINTON, MD 20735
Mailing Phone
(301) 877-4140
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2015
Last Update Date
07-02-2015
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An internist like Southern Maryland Endoscopy Center Anesthesia is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
License No.
207RG0100X
License State
MD
Taxonomy Description
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

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.

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

DR. JAMES S CHESLEY JR. MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(301) 877-4140

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
21D0993251
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
November 08, 2023
Certificate Expiration Date
November 07, 2025
Laboratory Director
DR. KASRA ADHAM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern Maryland Endoscopy Center Anesthesia to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SOUTHERN MARYLAND ENDOSCOPY CENTER ANESTHESIA

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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.
1750775268
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710014710212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 7 + 1 + 0 + 2 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1750775268 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568468841DR. PHILIP L BRILEY PH.D.
Individual
Psychologist7700 OLD BRANCH AVE STE B105
CLINTON, MD 20735
(301) 934-8811
1700879426MRS. LATARIO TAUSETTE POWELL-BROWN M.S., CCC-SLP
Individual
Speech-Language Pathologist7700 OLD BRANCH AVE SUITE C-200
CLINTON, MD 20735
(301) 877-3060
1790776961DR. IEON LLOYD DAWSON M.D.,F.A.C.C.
Individual
Internal Medicine (Cardiovascular Disease)7700 OLD BRANCH AVE SUITE B 205
CLINTON, MD 20735
(301) 877-4933
1164485199DR. GLENN ROBERT EDGECOMBE MD
Individual
Family Medicine7700 OLD BRANCH AVE STE B201
CLINTON, MD 20735
(301) 868-0150
1063476869 JOSEPH PETER CARUSO M.D.
Individual
Family Medicine (Adult Medicine)7700 OLD BRANCH AVE SUITE D-203
CLINTON, MD 20735
(301) 868-1220
1770521791DR. MICHAEL JOHN PAPANTONES ED.D.
Individual
Psychologist7700 OLD BRANCH AVE B105
CLINTON, MD 20735
(301) 856-1488
1124058748 RICHARD F KAUFMAN D.D.S.
Individual
Dentist (General Practice)7700 OLD BRANCH AVE SUITE E102
CLINTON, MD 20735
(301) 449-3350
1760406110MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC
Organization
Obstetrics & Gynecology7700 OLD BRANCH AVE SUITE 104A
CLINTON, MD 20735
(301) 868-8888
1043387715DRS.FERNANDEZ AND SRIPRASERT P.A.
Organization
Family Medicine7700 OLD BRANCH AVE SUITE C102
CLINTON, MD 20735
(301) 868-8200
1992860308HEARTMASTERS MEDICAL ASSOCIATES PC
Organization
Specialist7700 OLD BRANCH AVE B205
CLINTON, MD 20735
(307) 877-4933
1467633255 ROSARIO P FERNANDEZ M.D.
Individual
Family Medicine7700 OLD BRANCH AVE SUITE C102
CLINTON, MD 20735
(301) 868-8200
1457508624PACES, INC
Organization
Speech-Language Pathologist7700 OLD BRANCH AVE SUITE C-200
CLINTON, MD 20735
(301) 877-3060
1235484445MARYLAND THERAPY, LLC
Organization
Clinic/Center (Physical Therapy)7700 OLD BRANCH AVE SUITE B106
CLINTON, MD 20735
(240) 876-2295
1083966055GLENN R. EDGECOMBE, MD,PC
Organization
Family Medicine7700 OLD BRANCH AVE B201
CLINTON, MD 20735
(301) 868-0150
1467772541DR. DEREK EGO-OSUALA D.D.S., MS
Individual
Dentist (Endodontics)7700 OLD BRANCH AVE A-204
CLINTON, MD 20735
(240) 244-1013
1992148142MS. EVA FLOYD MOORE SENIOR COSMETOLGIST
Individual
Specialist7700 OLD BRANCH AVE SUITE A202
CLINTON, MD 20735
(240) 229-7270
1639475031 JESSE LEE GRIFFIN PHD, LCPC, NCC
Individual
Counselor (Mental Health)7700 OLD BRANCH AVE SUITE D103
CLINTON, MD 20735
(877) 214-3668
1821006024DR. JAMES S CHESLEY JR. MD
Individual
Internal Medicine (Gastroenterology)7700 OLD BRANCH AVE SUITE B101
CLINTON, MD 20735
(301) 868-9510
1518385301 MA RIZA PICO PT
Individual
Physical Therapist7700 OLD BRANCH AVE SUITE A-104
CLINTON, MD 20735
(301) 877-3422
1013313220AFFINITY HOME CARE LLC
Organization
Hospice Care, Community Based7700 OLD BRANCH AVE
CLINTON, MD 20735
(301) 856-7222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750775268, enumerated in the NPI registry as an "organization" on March 23, 2015

The provider is located at 7700 Old Branch Ave Suite A103 Clinton, Md 20735 and the phone number is (301) 877-4140

This medical organization specializes in Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology

The provider's CLIA number is 21D0993251 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 23, 2015. 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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