Lorraine Ofori-Awuah MD PA

Key facts

NPI: 1487769915
Entity type: Organization (NPI type 2)
Primary specialty: Primary Care Clinic/Center 261QP2300X
License: DOO61789 (MD)
Legal business name: LORRAINE OFORI-AWUAH MD PA
Practice address: 5430 Campbell Blvd
Ste 214
White Marsh, MD 21162
Phone: (410) 933-4970
Fax: (410) 933-4971
NPI assigned: Aug 21, 2006
Organization subpart: No

Authorized official

Name: Dr. Lorraine Beatrice Ofori-Awuah, MD
Title: President
Phone: (410) 960-8164

Practitioners 2

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

Lorraine Beatrice Ofori-Awuah, MD Internal Medicine Physician · Nottingham, MD · NPI 1952334112

Medicare reassignment NPD INTERNAL MEDICINE · MD
Brian L Seymore, DC, PT, DIBE, DABCE Clinical Electrophysiology Physical Therapist · Towson, MD · NPI 1851438345

Medicare reassignment NPD MD · MULTI-SPECIALTY

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
21D2190988	Lorraine Ofori-Awuah MD PA 5430 Campbell Blvd Suite 214, White Marsh, MD 21162	Certificate of waiver	Aug 20, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20070518000290	MD	Part B Supplier - Clinic/Group Practice	9739286105	Receives reassigned benefits from 2 practitioners Practice locations: White Marsh, MD

National Provider Directory

Locations

5430 Campbell Blvd
Ste 214
White Marsh, MD 21162
Phone (410) 319-0646

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Primary Care Clinic/Center	261QP2300X	DOO61789	MD	Yes

Addresses

Primary practice location

5430 Campbell Blvd
Ste 214
White Marsh, MD 21162

Mailing address

9305 Glen Vista Rd
Perry Hall, MD 21128
Phone (410) 933-4970

Other identifiers

Identifier	Type	State	Issuer
405496200	Medicaid	MD

Other providers in White Marsh, MD

Nicole Kreisman, PH.D.
Lauren Lambdin
Marlene Malka Langer Young, MS,CNS
Lansdowne Podiatry
Michelle Lopez
Robert Madison
Maryland Interventional Pain Management LLC
Maryland Interventional Pain Management, LLC
Jonathan Matz, M.D.
Alicia Lajuan Medina, CRNP

All providers in White Marsh, MD · Primary Care Clinic/Center in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.