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PORT RECOVERY PHYSICIANS CARE LLC
NPI 1124470356
Internal Medicine in Nottingham, MD

Active since July 12, 2016
8615 RIDGELYS CHOICE DR STE 205, NOTTINGHAM, MD 21236(443) 869-4909(443) 869-4928 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2025, Nov 15, 2018, Nov 2, 2018 and 4 more (7 updates tracked since 2016).

About Port Recovery Physicians Care Llc NPPES

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

PORT RECOVERY PHYSICIANS CARE LLC (NPI 1124470356) is a healthcare organization registered as an internal medicine in Nottingham, Maryland and active in the NPI registry since July 2016. The organization lists Joanne Granruth, Owner, as its authorized official.

NPPES Registry Identity

NPI1124470356
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePORT RECOVERY PHYSICIANS CARE LLC
Location Address8615 RIDGELYS CHOICE DR STE 205Nottingham, MD 21236-3028
Mailing Address8615 Ridgelys Choice Dr Ste 205Nottingham, MD 21236-3028 · (443) 534-8735 · Fax (410) 534-8737
Phone(443) 869-4909
Fax(443) 869-4928
Organization SubpartNo
Authorized OfficialJoanne GranruthOwner · (410) 534-8735
Enumeration DateJuly 12, 2016
Last NPPES UpdateMay 30, 20257 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1124470356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
8615 RIDGELYS CHOICE DR STE 205, Nottingham, MD 21236
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Other Identifiers 2

Medicaid886200100MD
OtherCP64-0000MD · Carefirst Bluecross Bluesheild

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

Other Providers at the Same Location NPPES 9

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

PORT RECOVERY, INC.
Community/Behavioral Health
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Baltimore County (443) 869-4909
PORT RECOVERY IOP INC.
Psychiatric Residential Treatment Facility
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Baltimore County (443) 869-4909
PORT RECOVERY IOP INC.
Community/Behavioral Health
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Baltimore County (443) 869-4909
PORT RECOVERY IOP INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Baltimore County (443) 869-4909
PORT RECOVERY IOP INC.
Counselor (Mental Health)
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Baltimore County (443) 869-4909
PORT RECOVERY IOP INC.
Counselor (Addiction (Substance Use Disorder))
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Baltimore County (443) 869-4909
PORT RECOVERY IOP INC.
Substance Abuse Rehabilitation Facility
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Baltimore County (443) 869-4909
PORT RECOVERY IOP INC.
Clinical Medical Laboratory
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Baltimore County (443) 869-4909

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 Port Recovery Physicians Care LLC's NPI number?

The NPI number for Port Recovery Physicians Care LLC is 1124470356. It was assigned to this organization in the NPPES registry on July 12, 2016.

Where is Port Recovery Physicians Care LLC located?

Port Recovery Physicians Care LLC is located at 8615 Ridgelys Choice Dr Ste 205, Nottingham, MD 21236. The listed phone number is (443) 869-4909.

What is Port Recovery Physicians Care LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Port Recovery Physicians Care LLC was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.