Healthcare Provider Details

I. General information

NPI: 1659217537
Provider Name (Legal Business Name): CHP MD MEDICAL AFFILIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8007 CORPORATE DR STE F
NOTTINGHAM MD
21236-4905
US

IV. Provider business mailing address

7041 BRIER CREEK CT
LAKEWOOD RANCH FL
34202-4215
US

V. Phone/Fax

Practice location:
  • Phone: 410-356-9939
  • Fax: 410-356-9987
Mailing address:
  • Phone: 410-356-9939
  • Fax: 410-356-9987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFF STRAUSS
Title or Position: MANAGER
Credential:
Phone: 410-356-9939