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ELLICOTT CITY PRIMARY CARE MEDICINE PA
NPI 1033391081
Internal Medicine in Ellicott City, MD

Active since December 02, 2007CLIA 21D0214389 · Waiver
10298B BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042(410) 465-1091(410) 465-8129 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellicott City Primary Care Medicine Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLICOTT CITY PRIMARY CARE MEDICINE PA (NPI 1033391081) is a healthcare organization registered as an internal medicine in Ellicott City, Maryland and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through September 27, 2026 and lists Charles Edward Sheehan, President, as its authorized official.

NPPES Registry Identity

NPI1033391081
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameELLICOTT CITY PRIMARY CARE MEDICINE PA
Location Address10298B BALTIMORE NATIONAL PIKEEllicott City, MD 21042-3670
Mailing Address10298b Baltimore National PikeEllicott City, MD 21042-3670 · (410) 465-1091 · Fax (410) 465-8129
Phone(410) 465-1091
Fax(410) 465-8129
Organization SubpartNo
Authorized OfficialCharles Edward SheehanPresident · (410) 465-1090
Enumeration DateDecember 2, 2007
Last NPPES UpdateSeptember 17, 2012
✔ NPI 1033391081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0028246
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10298B BALTIMORE NATIONAL PIKE, Ellicott City, MD 21042
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Other Identifiers 2

OtherORGANIZATIONAL NPI1033391081
Medicare PINKK82MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0214389

Ellicott City Primary Care Medicine · Ellicott City, MD
Active · expires Sep 27, 2026
CLIA Number21D0214389
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorAmandeep Singh
Laboratory Phone(410) 465-1091
Laboratory LocationEllicott City Primary Care Medicine10298-B Baltimore National Pike, Ellicott City, MD 21042
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMANDEEP SINGH M.D.
Internal Medicine
10298B BALTIMORE NATIONAL PIKE
ELLICOTT CITY, MD 21042
Howard County (410) 465-1091
PARMAR PRIMARY CARE MEDICINE LLC
Family Medicine
10298B BALTIMORE NATIONAL PIKE
ELLICOTT CITY, MD 21042
Howard County (410) 465-1091
PRIVIA MEDICAL GROUP, LLC
Internal Medicine
10298B BALTIMORE NATIONAL PIKE
ELLICOTT CITY, MD 21042
Howard County (410) 465-1091
KAREN FOY
Clinic/Center (Physical Therapy)
10298B BALTIMORE NATIONAL PIKE
ELLICOTT CITY, MD 21042
Howard County (410) 530-0070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellicott City Primary Care Medicine PA's NPI number?

The NPI number for Ellicott City Primary Care Medicine PA is 1033391081. It was assigned to this organization in the NPPES registry on December 2, 2007.

Where is Ellicott City Primary Care Medicine PA located?

Ellicott City Primary Care Medicine PA is located at 10298B Baltimore National Pike, Ellicott City, MD 21042. The listed phone number is (410) 465-1091.

What is Ellicott City Primary Care Medicine PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Ellicott City Primary Care Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0214389) is associated with this NPI, valid through September 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ellicott City Primary Care Medicine PA was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.