NPIMap

Organization Active NPI

Progressive Multi Medical Services Inc

Doing business as PMMS

  • Clinic/Center
  • Aberdeen, MD
National Provider Identifier
1922634534
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PROGRESSIVE MULTI MEDICAL SERVICES INC
Doing business as
PMMS
Practice address
200 N Philadelphia Blvd Ste a
Aberdeen, MD 21001-2568
Phone
(443) 530-3182
Fax
(443) 399-8223
NPI assigned
Mar 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Joy Okwuchi Uwandu, CRNP/FNP-CNPI 1528531498
Title
President
Phone
(443) 530-3182

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

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

Mailing address

1803 Penn Ave
Baltimore, MD 21217-3235
Phone (443) 931-5352

Other names 1

  • PMMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200930000021 MD Part B Supplier - Clinic/Group Practice 5991124687 Receives reassigned benefits from 3 practitioners
Practice locations: Aberdeen, MD
O20230517000805 DC Part B Supplier - Clinic/Group Practice 5991124687 Receives reassigned benefits from 1 practitioner
Practice locations: Bowie, MD

National Provider Directory

National Provider Directory

Locations

7704 Trappe Rd
Dundalk, MD 21222
Phone (443) 530-3182

Practitioners & affiliated clinicians

Practitioners 3

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": "1584144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1922634534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 PENN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173235",
            "telephone_number": "443-931-5352"
        },
        {
            "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 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-14",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "UWANDU",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "OKWUCHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-530-3182",
        "authorized_official_credential": "CRNP/FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PMMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 7, 2021; 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.