1477530624 NPI number — UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.

Table of content: (NPI 1477530624)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477530624 NPI number — UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477530624
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
900 ELKRIDGE LANDING RD FL 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINTHICUM
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21090-2924
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-462-5245
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
203 HOSPITAL DRIVE
Provider Second Line Business Practice Location Address:
STE 308
Provider Business Practice Location Address City Name:
GLEN BURNIE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21061-6906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-553-8260
Provider Business Practice Location Address Fax Number:
410-553-8261
Provider Enumeration Date:
12/29/2005

Additional Information

Authorized Official

Authorized Official Last Name:
NICHOLSON
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
STEPHEN
Authorized Official Title or Position:
SENIOR VICE PRESIDENT - CHIEF FINAN
Authorized Official Telephone Number:
410-822-1000

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: KQ62 . This is a "UNSPECIFIED" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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