Active NPI
University of Maryland Community Medical Group, Inc.
- Family Medicine Physician
- La Plata, MD
National Provider Identifier
1891545869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
- Practice address
- 101 Charles Street
Suite 104
La Plata, MD 20646-4901 - Phone
- (301) 609-4800
- NPI assigned
- Mar 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Stephen Nicholson
- Title
- Ao
- Phone
- (410) 337-1602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
101 Charles Street
Suite 104
La Plata, MD 20646-4901
Mailing address
900 Elkridge Landing Rd FL 2
Linthicum, MD 21090-2924
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0984687 | University of Maryland Community Medical Group | Certificate of waiver | Mar 11, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- University of Maryland Community Medical Group Inc
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Family Medicine Physician
- Annapolis, MD
- NPI 1821843186
-
- Family Medicine Physician
- Millersville, MD
- NPI 1821843590
-
- Family Medicine Physician
- Denton, MD
- NPI 1831946136
-
- Family Medicine Physician
- Cambridge, MD
- NPI 1831949809
-
- Family Medicine Physician
- La Plata, MD
- NPI 1841045101
-
- Family Medicine Physician
- Reisterstown, MD
- NPI 1841046539
-
- Family Medicine Physician
- Queenstown, MD
- NPI 1851130967
-
- Pediatrics Physician
- La Plata, MD
- NPI 1851256697
-
- Family Medicine Physician
- Glen Burnie, MD
- NPI 1871343889
-
- Family Medicine Physician
- Denton, MD
- NPI 1871426650
-
- Family Medicine Physician
- Queenstown, MD
- NPI 1881444891
-
- Family Medicine Physician
- Glen Burnie, MD
- NPI 1891540159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711324800000",
"number": "1891545869",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CHARLES STREET",
"address_2": "SUITE 104",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206464901",
"telephone_number": "301-609-4800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-25",
"last_updated": "2024-03-25",
"certification_date": "2024-03-24",
"status": "A",
"authorized_official_last_name": "NICHOLSON",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "410-337-1602"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Plata, MD
- University of Maryland Community Medical Group, Inc.
- University of Maryland Community Medical Group, Inc.
- University of Maryland Community Medical Group, Inc.
- University of Maryland Community Medical Group, Inc.
- University of Maryland Community Medical Group, Inc.
- University of Maryland Diagnostic Radiology, LLC
- University of Maryland Pathology Associates, P.a.
- University of Maryland Pediatric Associates, PA
- University of Maryland Physicians, P.a.
- Melanie Upright, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.