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Maryland Physicians Edge LLC

NPI 1285588228ActiveOrganization· Obstetrics & Gynecology· Havre De Grace, MD

Obstetrics & Gynecology in Havre De Grace, Maryland, registered in NPPES in February 2026. The authorized official on file is Tracey M. Moran, Practice Manager.

Overview

NPI1285588228
StatusActive
Entity typeOrganization
NPI issuedFeb 25, 2026
Last updated in NPPESFeb 25, 2026
Certified by providerFeb 25, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Obstetrics & Gynecology Primary207V00000X——
Social Worker104100000X——
Social Worker, Clinical1041C0700X——
Case Manager/Care Coordinator171M00000X——
Midwife176B00000X——
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery207VF0040X——
Obstetrics & Gynecology, Gynecology207VG0400X——
Obstetrics & Gynecology, Maternal & Fetal Medicine207VM0101X——
Obstetrics & Gynecology, Gynecologic Oncology207VX0201X——
Radiology, Diagnostic Radiology2085R0202X——
Physician Assistant363A00000X——
Nurse Practitioner, Family363LF0000X——
Nurse Practitioner, Women's Health363LW0102X——
Advanced Practice Midwife367A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other OB-GYNs in Havre De Grace

All OB-GYNs in Maryland