CMDS Community Health, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CMDS COMMUNITY HEALTH, LLC

Practice address

2401 E North Ave
Baltimore, MD 21213-1517

Phone

(410) 675-2113

NPI assigned

Sep 29, 2021

Organization subpart

No

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

Authorized official

Name

Andre L Pelegrini

Title

VP Finance

Phone

(141) 086-8563

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1255003133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 MAPLE LAWN BLVD STE 200",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592684",
            "telephone_number": "141-086-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E NORTH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131517",
            "telephone_number": "410-675-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMDS COMMUNITY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "PELEGRINI",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "141-086-8563"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CLS Project LLC
• Gretchen A Clum, P.H.D.
• Michael Clune
• John Michael Cmar, MD
• CMDS Community Health, LLC
• CMDS Community Health, LLC
• CMDS Community Health, LLC
• CMDS Management, LLC.
• CMDS Residential
• CMDS Residential, LLC

• General Practice Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.