PREMISE HEALTH OF MARYLAND MEDICAL P C
NPI 1043105224
Clinic/Center - Multi-Specialty in Frederick, MD

Active since June 10, 2025CLIA 21D2130748 · Waiver
633 RESEARCH DR, FREDERICK, MD 21703(301) 662-1657 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2026, Jun 10, 2025 (2 updates tracked since 2025).

About Premise Health Of Maryland Medical P C NPPES

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

PREMISE HEALTH OF MARYLAND MEDICAL P C (NPI 1043105224), doing business as On-site Us Employee Health & Wellness Center - Frederick, is a healthcare organization registered as a multi-specialty in Frederick, Maryland and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1043105224
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF MARYLAND MEDICAL P C
Location Address633 RESEARCH DRFrederick, MD 21703-8619
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateJune 10, 2025
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1043105224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
633 RESEARCH DR, Frederick, MD 21703

Other Names 1

Doing Business AsOn-site Us Employee Health & Wellness Center - Frederick

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 21D2130748

Premise Health Of Maryland Medical PC · Frederick, MD
Active · expires May 16, 2027
CLIA Number21D2130748
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorJohn Clarke
Laboratory Phone(301) 662-1657
Laboratory LocationPremise Health Of Maryland Medical PC633 Research Court, Frederick, MD 21703
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Premise Health Of Maryland Medical P C's NPI number?

The NPI number for Premise Health Of Maryland Medical P C is 1043105224. It was assigned to this organization in the NPPES registry on June 10, 2025. The provider is doing business as On-site US Employee Health & Wellness Center - Frederick.

Where is Premise Health Of Maryland Medical P C located?

Premise Health Of Maryland Medical P C is located at 633 Research Dr, Frederick, MD 21703. The listed phone number is (301) 662-1657.

What is Premise Health Of Maryland Medical P C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Maryland Medical P C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2130748) is associated with this NPI, valid through May 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Maryland Medical P C was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.