UNIVERSITY OF MARYLAND CHARLES REGIONAL OB/GYN – NPI #1205035805
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

UNIVERSITY OF MARYLAND CHARLES REGIONAL OB/GYN is a provider located in LA PLATA, MD. NPPES has assigned the NPI number 1205035805 to UNIVERSITY OF MARYLAND CHARLES REGIONAL OB/GYN on July 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “UNIVERSITY OF MARYLAND CHARLES REGIONAL OB/GYN” is a dba name, the actual legal business name for this organization is CIVISTA CLINICAL SERVICES, LLC. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 11 years ago on May 15, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UNIVERSITY OF MARYLAND CHARLES REGIONAL OB/GYN below.

NPI Profile for
CIVISTA CLINICAL SERVICES, LLC

NPI Number
1205035805
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CIVISTA CLINICAL SERVICES, LLC
Doing Business As (dba): UNIVERSITY OF MARYLAND CHARLES REGIONAL OB/GYN
Primary location
605 EAST CHARLES STREET
LA PLATA, MD 20646
Phone: (301) 609-4800 Fax: (301) 609-5220
Mailing address
Same as primary location
Organization Subpart
Yes - UNIVERSITY OF MARYLAND CHARLES REGIONAL OB/GYN is subpart of another organization.
Authorized Official
STEPHANIE SIMM
PHYSICIAN RELATIONS SPECIALISTS
Phone: (301) 609-4539
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.