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Calverthealth Medical Group, LLC

Family Medicine Physician in Prince Frederick, MD · enumerated 2024 · authorized official Carolyn Heithaus, Cfo.

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

National Provider Identifier

1639916653

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Registry record

Entity type Organization (Type 2)
Legal business name Calverthealth Medical Group, LLC
Other name <Unavail>
Parent organization Calvert Health System, Inc.
Practice address 110 Hospital Rd Ste 111, Prince Frederick, MD, 20678
Fax (443) 771-8114
Enumeration date Jul 9, 2024
Last updated in NPPES Jul 10, 2024

Taxonomy & classification

133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RH0003X Hematology & Oncology Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Carolyn Heithaus
Title Cfo

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-07-10. Verify at npiregistry.cms.hhs.gov.
Where is Calverthealth Medical Group, LLC located?
The practice location on file with NPPES is in Prince Frederick, MD.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-10.