University of Maryland Faculty Physicians Immediate Care, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

UNIVERSITY OF MARYLAND FACULTY PHYSICIANS IMMEDIATE CARE, LLC

Practice address

5890 Waterloo Road
Columbia, MD 21045

Phone

(410) 528-5710

NPI assigned

Jul 6, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Melanie Robin

Title

Incentive Programs Manager

Phone

(667) 214-1069

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eman Hussain Al-Samrrai, M.D.

  • Family Medicine Physician
  • Annapolis, MD
  • NPI 1093828501

  MD

  Medicare reassignment Care Compare group NPD
• Jameel Anderson, DNP

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1366272155

  MD

  Medicare reassignment Care Compare group NPD
• Valerie Cothran, MD

  • Sports Medicine (Family Medicine) Physician
  • Baltimore, MD
  • NPI 1275694408

  MD

  Medicare reassignment Care Compare group NPD
• Sandy L Hope, MD

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1275719692

  MD

  Medicare reassignment Care Compare group NPD
• Shayna Aileen Korona

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1215572359

  MD

  Medicare reassignment Care Compare group NPD
• Rachael E Lewis, CRNP

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1801311378

  MD, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Sushma Maharjan, FNP-C

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1255803441

  MD

  Medicare reassignment Care Compare group NPD
• Michael C Obiefune, MD

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1073552881

  MD

  Medicare reassignment Care Compare group NPD
• Leonie Prao, MD

  • Sports Medicine (Family Medicine) Physician
  • Baltimore, MD
  • NPI 1336374461

  MD

  Medicare reassignment Care Compare group NPD
• Marissa Punturiero

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1538030275

  MD

  Medicare reassignment Care Compare group NPD
• Ryan Michael Reese, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Columbia, MD
  • NPI 1134654452

  MD

  Medicare reassignment Care Compare group NPD
• David L Stewart, MD

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1184716722

  MD

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1972986271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64380",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 WATERLOO ROAD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-528-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND FACULTY PHYSICIANS IMMEDIATE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "ROBIN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "INCENTIVE PROGRAMS MANAGER",
        "authorized_official_telephone_number": "667-214-1069",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Maryland Eye Associates, P.a.
• University of Maryland Eye Associates, P.a.
• University of Maryland Eye Associates, P.a.
• University of Maryland Eye Associates, P.a.
• University of Maryland Eye Associates, P.a.
• University of Maryland Family Medicine Associates, P.a.
• University of Maryland Medicine ASC, LLC
• University of Maryland Neurosurgery Associates P a
• University of Maryland Neurosurgery Associates P a
• University of Maryland Neurosurgery Associates P a

• Urgent Care Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Urgent Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.