Gynecology Of St. Mary'S
Obstetrics & Gynecology, Gynecology in Leonardtown, MD. Organization (NPI-2).
NPI number1013192111
StatusActive
Last updated in NPPESJan 8, 2008
Details
- NPI
- 1013192111
- Entity type
- Organization (NPI-2)
- Legal business name
- Gynecology Of St. Mary'S
- Organization subpart
- No
- Enumeration date
- Jan 8, 2008
- Last updated
- Jan 8, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | D35536 | MD | Yes |
Practice location
41650 Courthouse DriveSuite 200
Leonardtown, MD 20650
Phone 301-475-2805 · Fax 301-475-7184
Mailing address
Po Box 538Leonardtown, MD 20650-0538
Phone 301-475-2805 · Fax 301-475-7184
Authorized official
Emily J Windham
MD
3014752805
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