Medstar Southern Maryland Physicians, LLC
NPI 1063880599ActiveOrganization· Surgery, Vascular Surgery· Clinton, MD
Surgery, Vascular Surgery in Clinton, Maryland, registered in NPPES in September 2015, part of Medstar Southern Maryland Physicians, LLC. The authorized official on file is Jane E. Raymond, Associate Vp.
Overview
| NPI | 1063880599 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Medstar Southern Maryland Physicians, LLC |
| NPI issued | Sep 15, 2015 |
| Last updated in NPPES | Sep 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
| Surgery | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Surgery, Vascular Surgery providers in Clinton
- 1457307431
- 1316227150