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

Civista Clinical Services, LLC

Organization Obstetrics & Gynecology Physician · NPI 1205035805

Civista Clinical Services, LLC is an Obstetrics & Gynecology Physician in LA Plata, Maryland. Registered with an NPI since 2007.

In the registry since
2007
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

605 E Charles St
LA Plata, MD 20646
Phone: (301) 609-4800
Fax: (301) 609-5220
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1205035805
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCivista Clinical Services, LLC
Authorized official Stephanie Simm — Physician Relations Specialists · (301) 609-4539
Other names University Of Maryland Charles Regional Ob/Gyn
NPI enumeratedJuly 13, 2007
Last updated in NPPESMay 15, 2015
Mailing address605 East Charles Street, La Plata, MD 20646

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