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UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1033969142
Family Medicine in Centreville, MD

Active since March 25, 2024CLIA 21D0864462 · Microscopy
2540 CENTREVILLE RD, CENTREVILLE, MD 21617(410) 758-4432 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Of Maryland Community Medical Group, Inc. NPPES

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

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC. (NPI 1033969142) is a healthcare organization registered as a family medicine in Centreville, Maryland and active in the NPI registry since March 2024. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Paul Stephen Nicholson, Ao, as its authorized official.

NPPES Registry Identity

NPI1033969142
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Location Address2540 CENTREVILLE RDCentreville, MD 21617-2681
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Phone(410) 758-4432
Organization SubpartNo
Authorized OfficialPaul Stephen NicholsonAo · (410) 337-1602
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 23, 2024
✔ NPI 1033969142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2540 CENTREVILLE RD, Centreville, MD 21617
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 for Provider-Performed Microscopy Procedures (PPMP) 21D0864462

University Of Maryland Community Medical Group · Centreville, MD
Active · expires Aug 31, 2026
CLIA Number21D0864462
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorChristina Seningen
Laboratory Phone(410) 758-4432
Laboratory LocationUniversity Of Maryland Community Medical Group2540 Centreville Road, Centreville, MD 21617
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

GURPREET KAUR SAINI M.D
Internal Medicine
2540 CENTREVILLE RD
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-4432
JAMIE MARIE DEL PUPPO AGNP
Nurse Practitioner (Primary Care)
2540 CENTREVILLE RD
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-4432
LISA SIMONE WEBSTER APRN
Nurse Practitioner (Family)
2540 CENTREVILLE RD
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-4432
VALERIE ELLEN GOODMAN DO
Family Medicine
2540 CENTREVILLE RD
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-4432
LISA HALL MCDONALD NP
Nurse Practitioner (Family)
2540 CENTREVILLE RD
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-4432
JEFFREY L UKENS MD
Family Medicine
2540 CENTREVILLE RD
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-4432

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 University Of Maryland Community Medical Group, Inc.'s NPI number?

The NPI number for University Of Maryland Community Medical Group, Inc. is 1033969142. It was assigned to this organization in the NPPES registry on March 25, 2024.

Where is University Of Maryland Community Medical Group, Inc. located?

University Of Maryland Community Medical Group, Inc. is located at 2540 Centreville Rd, Centreville, MD 21617. The listed phone number is (410) 758-4432.

What is University Of Maryland Community Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does University Of Maryland Community Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0864462) is associated with this NPI, valid through August 31, 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 University Of Maryland Community Medical Group, Inc. was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.