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UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1114772670
Family Medicine in Easton, MD

Active since April 18, 2024CLIA Certified · 4 labs
10 MARTIN CT, EASTON, MD 21601(410) 822-1000 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 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 1114772670) is a healthcare organization registered as a family medicine in Easton, Maryland and active in the NPI registry since April 2024. The organization holds 4 active CLIA laboratory certificates and lists Paul Stephen Nicholson, Ao, as its authorized official.

NPPES Registry Identity

NPI1114772670
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Location Address10 MARTIN CTEaston, MD 21601-4095
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Phone(410) 822-1000
Organization SubpartNo
Authorized OfficialPaul Stephen NicholsonAo · (410) 337-1602
Enumeration DateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1114772670 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.
10 MARTIN CT, Easton, MD 21601
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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 4

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 21D2177166

University Of Maryland Community Medical Group · Cambridge, MD
Active · expires Jan 6, 2028
CLIA Number21D2177166
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorMedha Satyarengga
Laboratory Phone(410) 822-1000
Laboratory LocationUniversity Of Maryland Community Medical Group713 Cambridge Marketplace Blvd Suite 2-700, Cambridge, MD 21613
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2293485

University Of Maryland Community Medical Group · Queenstown, MD
Active · expires Nov 8, 2027
CLIA Number21D2293485
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorDr. Medha Satyarengga
Laboratory Phone(410) 822-1000
Laboratory LocationUniversity Of Maryland Community Medical Group125 Shoreway Dr #210, Queenstown, MD 21658
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2331396

University Of Maryland Community Medical Group · Denton, MD
Active · expires Sep 30, 2027
CLIA Number21D2331396
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorDr. Medha Satyarengga
Laboratory Phone(410) 822-1000
Laboratory LocationUniversity Of Maryland Community Medical Group1140 Blades Farm Rd Multispecialty #103, Denton, MD 21629
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2329252

University Of Maryland Community Medical Group · Chestertown, MD
Active · expires Aug 25, 2027
CLIA Number21D2329252
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorMedha Satyarengga
Laboratory Phone(410) 822-1000
Laboratory LocationUniversity Of Maryland Community Medical Group100 Brown Street Suite 200 Multispecialty, Chestertown, MD 21620
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 3

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

MRS. MARY GENEVIEVE HYNES OTR-L, CHT
Occupational Therapist
10 MARTIN CT
EASTON, MD 21601
Talbot County (410) 822-3080
SHORE HEALTH SYSTEM, INC
Clinic/Center (Radiology, Mobile)
10 MARTIN CT
EASTON, MD 21601
Talbot County (410) 820-7778
SHORE HEALTH SYSTEM, INC
Clinical Medical Laboratory
10 MARTIN CT
EASTON, MD 21601
Talbot County (410) 820-7778

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 1114772670. It was assigned to this organization in the NPPES registry on April 18, 2024.

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

University Of Maryland Community Medical Group, Inc. is located at 10 Martin Ct, Easton, MD 21601. The listed phone number is (410) 822-1000.

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 CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for University Of Maryland Community Medical Group, Inc. was last updated on April 18, 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.