EASTERN SHORE HOSPITAL CENTER/PHYSICIAN GROUP
NPI 1760412126
Psychiatric Hospital in Cambridge, MD
NPI Status: Active since July 03, 2006
Contact Information
5262 WOODS RD
EASTERN SHORE HOSPITAL CENTER
CAMBRIDGE, MD
ZIP 21613
Phone: (410) 221-2300
- Organization
- Psychiatric Hospital
- CLIA Number: 21D0923023
- CLIA Cert. Type: Other - INPATIENT PSYCHIATRIC FAC
- CLIA Exp. Date: 12-11-2026
About EASTERN SHORE HOSPITAL CENTER/PHYSICIAN GROUP
This page provides the complete NPI Profile along with additional information for Eastern Shore Hospital Center/physician Group, a provider established in Cambridge, Maryland operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1760412126 assigned on July 2006. The practitioner's primary taxonomy code is 283Q00000X with license number 09003 (MD). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mary Kay Noren Lcsw-c (Chief Executive Officer)
- NPI
- 1760412126
- Provider Name
- EASTERN SHORE HOSPITAL CENTER/PHYSICIAN GROUP
- Entity Type
- Organization
- Location Address
- 5262 WOODS RD EASTERN SHORE HOSPITAL CENTER CAMBRIDGE, MD 21613
- Location Phone
- (410) 221-2300
- Mailing Address
- 5262 WOODS RD EASTERN SHORE HOSPITAL CENTER CAMBRIDGE, MD 21613
- Mailing Phone
- (410) 221-2300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-03-2006
- Last Update Date
- 08-22-2020
- Code Navigator
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
Psychiatric Hospital
- Taxonomy Code
- 283Q00000X
- Type
- Hospitals
- License No.
- 09003
- License State
- MD
- Taxonomy Description
- An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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
- 21D0923023
- Facility Type
- Other - INPATIENT PSYCHIATRIC FAC
- Certificate Effective Date
- December 12, 2024
- Certificate Expiration Date
- December 11, 2026
- Laboratory Director
- DR. ASIF A. FAKHRI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Eastern Shore Hospital Center/physician Group 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 EASTERN SHORE HOSPITAL CENTER/PHYSICIAN GROUP
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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. | |||||||||
| 1 | 7 | 6 | 0 | 4 | 1 | 2 | 1 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 8 | 1 | 4 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 8 + 1 + 4 + 1 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1760412126 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841281680 | COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU Organization | Psychiatric Hospital | 5262 WOODS RD CAMBRIDGE, MD 21613 (410) 221-2300 |
| 1457335739 | DR. JUDITH IRENE HEGARTY M.B.B.S. Individual | Psychiatry & Neurology (Psychiatry) | 5262 WOODS RD CAMBRIDGE, MD 21613 (410) 221-3558 |
| 1043294093 | DR. SARAH ILANA IACOBOVICI M.D. Individual | Psychiatry & Neurology (Forensic Psychiatry) | 5262 WOODS RD CAMBRIDGE, MD 21613 (410) 221-2537 |
| 1891769469 | DR. NIKKI LEE ADAMS M.D. Individual | Psychiatry & Neurology (Psychiatry) | 5262 WOODS RD CAMBRIDGE, MD 21613 (410) 221-2300 |
| 1801831482 | SURINDERPAL SODHI M.D. Individual | Internal Medicine | 5262 WOODS RD EASTERN SHORE HOSPITAL CENTER CAMBRIDGE, MD 21613 (410) 221-2300 |
| 1346270600 | DR. VALENTIN SAMBORSCHI MD Individual | Psychiatry & Neurology (Psychiatry) | 5262 WOODS RD EASTERN SHORE HOSPITAL CENTER CAMBRIDGE, MD 21613 (410) 221-2300 |
| 1093872996 | MILTON WILLIAM FEDER M.D. Individual | Psychiatry & Neurology (Psychiatry) | 5262 WOODS RD EASTERN SHORE HOSPITAL CENTER CAMBRIDGE, MD 21613 (410) 221-2430 |
| 1942676614 | SARAH STEVANUS RD, LDN Individual | Dietitian, Registered | 5262 WOODS RD CAMBRIDGE, MD 21613 (410) 221-2403 |
| 1679941041 | RACHEL SADORF Individual | Social Worker (Clinical) | 5262 WOODS RD CAMBRIDGE, MD 21613 (410) 221-2366 |
| 1720353188 | DR. ALEXANDRA KRUGLER RICE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 5262 WOODS RD CAMBRIDGE, MD 21613 (410) 221-2300 |
| 1396011466 | DR. ASIF ALI FAKHRI M.D. Individual | Nuclear Medicine | 5262 WOODS RD CAMBRIDGE, MD 21613 (410) 221-2300 |
| 1881973113 | REBECCA JEAN BRADFORD PHARMD Individual | Pharmacist | 5262 WOODS RD PHARMACY DEPT CAMBRIDGE, MD 21613 (410) 221-2414 |
| 1407670342 | DR. DORIS STAEUDLE PSYD Individual | Psychologist (Clinical) | 5262 WOODS RD CAMBRIDGE, MD 21613 (410) 221-2300 |
| 1093531139 | DR. CAITLIN DAIL PSY.D. Individual | Psychologist | 5262 WOODS RD CAMBRIDGE, MD 21613 (410) 221-2348 |
| 1346401304 | YVETTE DANIELLE KOVNER PSYD. Individual | Psychologist (Clinical) | 5262 WOODS RD CAMBRIDGE, MD 21613 (410) 221-2340 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760412126, enumerated in the NPI registry as an "organization" on July 03, 2006
The provider is located at 5262 Woods Rd Eastern Shore Hospital Center Cambridge, Md 21613 and the phone number is (410) 221-2300
This medical organization specializes in Psychiatric Hospital with taxonomy code 283Q00000X
The provider's CLIA number is 21D0923023 for a "other - inpatient psychiatric fac" 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 July 03, 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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