Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Civista Clinical Sercives, LLC

Organization Neurology Physician · NPI 1619237344

Civista Clinical Sercives, LLC is a Neurology Physician in LA Plata, Maryland. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Centennial St Ste B
LA Plata, MD 20646-5975
Phone: (301) 609-4539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1619237344
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationUniversity of Maryland Charles Regional Medical Group
Authorized official Stephanie Simm — Physician Relations Specialist · (301) 609-4539
Other names University Of Maryland Charles Regional Neurology Center
NPI enumeratedMay 29, 2012
Last updated in NPPESJune 12, 2014
Mailing address75 Remittance Dr Dept 6554, Chicago, IL 60675-6554

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