Excelle Medical Clinic Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EXCELLE MEDICAL CLINIC INC

Practice address

1134 York Rd Ste 208
Lutherville, MD 21093-6204

Phone

(667) 206-2520

Fax

(949) 693-4581

NPI assigned

Feb 18, 2025

Last updated

Jan 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Taiwo Rita Asaolu, NURSE PRACTITIONERNPI 1477227460

Title

Ceo

Phone

(443) 630-2185

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taiwo Rita Asaolu

  • Family Nurse Practitioner
  • Towson, MD
  • NPI 1477227460
  NPD (past) Authorized official

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1710782131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 GILLEY TER",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373703",
            "telephone_number": "443-630-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 YORK RD STE 208",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936204",
            "telephone_number": "667-206-2520",
            "fax_number": "949-693-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "ASAOLU",
        "authorized_official_first_name": "TAIWO",
        "authorized_official_middle_name": "RITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-630-2185",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Martin Eyler, CPNP
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• Primary Care Clinic/Center in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.