Organization Active NPI

University of Maryland Pediatric Associates, PA

  • Multi-Specialty Clinic/Center
  • Largo, MD
National Provider Identifier
1043046816
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA
Practice address
9300 Lottsford Rd
Largo, MD 20774-4886
Phone
(240) 719-7648
Fax
(240) 696-2628
NPI assigned
Sep 10, 2024
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Margie Oller Burr
Title
Dircetor of Professional Fees
Phone
(410) 706-5181

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9300 Lottsford Rd
Largo, MD 20774-4886

Mailing address

PO Box 62063
Baltimore, MD 21264-2063
Phone (410) 706-5181

National Provider Directory

National Provider Directory
Tax ID family
University of Maryland Pediatric Associates PA58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

3450 Old Washington Rd
Waldorf, MD 20602
Phone (571) 261-9877

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1043046816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62063",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212642063",
            "telephone_number": "410-706-5181",
            "fax_number": "410-706-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 LOTTSFORD RD",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744886",
            "telephone_number": "240-719-7648",
            "fax_number": "240-696-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_middle_name": "OLLER",
        "authorized_official_title_or_position": "DIRCETOR OF PROFESSIONAL FEES",
        "authorized_official_telephone_number": "410-706-5181"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.