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Pax River Medical Clinic, LLC

General Practice Physician in Lexington Park, MD · enumerated 2007 · authorized official Katherine Martin, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083807085

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Registry record

Entity type Organization (Type 2)
Legal business name Pax River Medical Clinic, LLC
Practice address 46940 S Shangri La Dr, Suite #19, Lexington Park, MD, 20653
Fax (301) 863-8130
Enumeration date Aug 22, 2007
Last updated in NPPES May 9, 2014

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License H0055958 (MD) Primary

Authorized official

Name Katherine Martin
Title Owner

Other identifiers

Identifier Type State Issuer
1437267986 Other MD INDIVIDUAL NPI #
011218600 Medicaid MD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Pax River Medical Clinic, LLC?
Pax River Medical Clinic, LLC is registered in NPPES as a General Practice Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-09.