NPIMap

Organization Active NPI

Progressive Multi Medical Services

  • Community/Behavioral Health Agency
  • Aberdeen, MD
National Provider Identifier
1376135152
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROGRESSIVE MULTI MEDICAL SERVICES
Practice address
200 N Philadelphia Blvd Ste a
Aberdeen, MD 21001-2568
Phone
(443) 530-3182
Fax
(443) 399-8223
NPI assigned
Feb 3, 2021
Organization subpart
Yes
Parent organization
PROGRESSIVE MULTI MEDICAL SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Joy Okwuchi Uwandu, CRNPNPI 1528531498
Title
Owner
Phone
(443) 931-5352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

200 N Philadelphia Blvd Ste a
Aberdeen, MD 21001-2568

Mailing address

200 N Philadelphia Blvd Ste a
Aberdeen, MD 21001-2568
Phone (443) 530-3182

Other identifiers 1

IdentifierTypeStateIssuer
817005300MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Progressive Multi Med SVCS4 organizations share this tax ID, including this one
Part of
Progressive Multi Med SVCS

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1376135152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N PHILADELPHIA BLVD STE A",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012568",
            "telephone_number": "443-530-3182",
            "fax_number": "443-399-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N PHILADELPHIA BLVD STE A",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012568",
            "telephone_number": "443-530-3182",
            "fax_number": "443-399-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MULTI MEDICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE MULTI MEDICAL SERVICES INC",
        "enumeration_date": "2021-02-03",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "UWANDU",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "OKWUCHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-931-5352",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "817005300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.