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MEDICAL LEGACY LLC
NPI 1114189453
Clinic/Center - Primary Care in Randallstown, MD

Active since June 27, 2008
5310 OLD COURT RD, SUITE 305, RANDALLSTOWN, MD 21133(410) 655-7100(410) 655-7917 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Legacy Llc NPPES

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

MEDICAL LEGACY LLC (NPI 1114189453) is a healthcare organization registered as a primary care in Randallstown, Maryland and active in the NPI registry since June 2008. The organization lists Olutoyin A Okunoren, Practice Coordinator, as its authorized official.

NPPES Registry Identity

NPI1114189453
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMEDICAL LEGACY LLC
Location Address5310 OLD COURT RD, SUITE 305Randallstown, MD 21133-5243
Mailing Address5310 Old Court Rd, Suite 305Randallstown, MA 21133 · (410) 655-7100 · Fax (410) 655-7917
Phone(410) 655-7100
Fax(410) 655-7917
Organization SubpartNo
Authorized OfficialOlutoyin A OkunorenPractice Coordinator · (410) 655-7100
Enumeration DateJune 27, 2008
✔ NPI 1114189453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MD · D0023724
5310 OLD COURT RD, Randallstown, MD 21133
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Other Identifiers 2

Medicare UPINB69587MD
Medicaid255951000MD

Other Providers at the Same Location NPPES 20

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

MRS. RAYMONDA ALFREDA ADAMS LCSW-C
Social Worker (Clinical)
5310 OLD COURT RD, SUITE 308 OFFICE 1
RANDALLSTOWN, MD 21133
Baltimore County (443) 474-1487
DR. ALLAN JAY CHIRCUS MD
General Practice
5310 OLD COURT RD, STE 201
RANDALLSTOWN, MD 21133
Baltimore County (410) 655-1144
MANISHA HUSSMAN MSN
Nurse Practitioner (Psychiatric/Mental Health)
5310 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-1133
MS. ANDREA NICOLE RANDALL LCSW-C
Social Worker (Clinical)
5310 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (443) 405-3193
DR. DONNA M SAUNDERS PSYCHOLOGIST
Psychologist (Clinical)
5310 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (443) 850-0195
AVVERAHALLI M HARISH M.D.
Internal Medicine
5310 OLD COURT RD, SUITE 303
RANDALLSTOWN, MD 21133
Baltimore County (410) 655-0312
UNIQUE MEDICAL SUPPLY, INC.
Durable Medical Equipment & Medical Supplies
5310 OLD COURT RD, SUITE 102
RANDALLSTOWN, MD 21133
Baltimore County (410) 496-6933
MARYLAND HEALTHCARE CLINICS
Physical Therapist
5310 OLD COURT RD, SUITE 104
RANDALLSTOWN, MD 21133
Baltimore County (410) 655-4420

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 Medical Legacy LLC's NPI number?

The NPI number for Medical Legacy LLC is 1114189453. It was assigned to this organization in the NPPES registry on June 27, 2008.

Where is Medical Legacy LLC located?

Medical Legacy LLC is located at 5310 Old Court Rd Suite 305, Randallstown, MD 21133. The listed phone number is (410) 655-7100.

What is Medical Legacy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Medical Legacy LLC was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.