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 provides Neurology Physician services 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.

See every abbreviation used in this directory →

Practice location Address checks out

101 Centennial St Ste B
LA Plata, MD 20646-5975 Not confirmed with CMS for 12 years — call before visiting
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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