CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA – NPI #1699894857
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA is a provider located in SALISBURY, MD. NPPES has assigned the NPI number 1699894857 to CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA on March 28, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was last updated on Sep 16, 2024. 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 CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA below.

NPI Profile for
CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA

NPI Number
1699894857
Enumeration Date

(more than 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
CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA
Primary location
106 MILFORD ST STE 201
SALISBURY, MD 21804-6959
Phone: (410) 543-1616 Fax: (410) 543-8497
1 Other location(s):
29 Broad St Ste 201
Berlin, MD 21811-1054
Phone: (410) 543-1616 Ext: 504
Fax: (410) 543-8497
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIM WATSON
OPERATIONS COORDINATOR
Phone: (410) 543-1616
Updated
Certification Date
Sep 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherAETNAMD4560463
otherAMERIGROUP COMMUNITY CAREMD188017
otherBLUE CROSS BLUE CHOICEMDG113
otherBLUE CROSS BLUE SHIELDMDS758CH
otherCAREFIRSTMDG113-0000
otherCOVENTRY HEALTHCAREMD283952
otherMARYLAND PHYSICIANS CAREMD430401200
otherPRIORITY PARTNERSMD826426
otherUNITED HEALTHCAREMD213297
medicaidMD430401201
medicaidMD430401200
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
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
MD

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.