NPIMap

Organization Active NPI

Maryland General Clinical Practice Group, Inc.

  • Health Educator
  • Gwynn Oak, MD
National Provider Identifier
1740862010
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
MARYLAND GENERAL CLINICAL PRACTICE GROUP, INC.
Practice address
4801 Liberty Heights Ave
Gwynn Oak, MD 21207-7157
Phone
(410) 468-2124
NPI assigned
Apr 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
George Sprinkel
Title
Cfo
Phone
(410) 328-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

4801 Liberty Heights Ave
Gwynn Oak, MD 21207-7157

Mailing address

900 Elkridge Landing Rd FL 2
Linthicum, MD 21090-2924
Phone (443) 462-5010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220712000063 MD MDPP Supplier - in-Person MDPP Supplier 8123926649 Practice locations: Baltimore, MD; Linthicum Heights, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Maryland General Clinical Practice Group Inc20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

110 S Paca St
Fl 5
Baltimore, MD 21201

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1740862010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ELKRIDGE LANDING RD FL 2",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902924",
            "telephone_number": "443-462-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 LIBERTY HEIGHTS AVE",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212077157",
            "telephone_number": "410-468-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND GENERAL CLINICAL PRACTICE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "SPRINKEL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-328-1501"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gwynn Oak, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.