Parkville Medical Group LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

PARKVILLE MEDICAL GROUP LLC

Practice address

1721 Belfast Rd
Sparks, MD 21152-9786

Phone

(410) 371-3373

NPI assigned

Mar 6, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Terry Lynn Stevenson, CRNP

Title

Managing Member/Provider

Phone

(410) 371-3373

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1962960229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 BELFAST RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529786",
            "telephone_number": "410-371-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 BELFAST RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529786",
            "telephone_number": "410-371-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVILLE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGING MEMBER/PROVIDER",
        "authorized_official_telephone_number": "410-371-3373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "605M957F",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Onyilokwu
• Morton Carl Orman, M.D.
• Sara Osei-Bonsu, FNP-C
• Kathleen Osgood
• Kirsten Pamfilis
• Melena Evancho Parlette, D.D.S.
• India Paschall-Myers
• Sonal Rohit Patel, M.S..R.D.,L.D.
• Peace in Perspective
• Portia Lamaire Peacock

• Adult Medicine Physician in Sparks, MD
• Providers in Sparks, MD by specialty
• Adult Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.