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UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP, LLC
NPI 1174370795
General Practice in Towson, MD

Active since May 01, 2024CLIA 21D2067910 · Waiver
515 FAIRMOUNT AVE STE 500, TOWSON, MD 21286(410) 494-1662 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About University Of Maryland St. Joseph Medical Group, Llc NPPES

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

UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP, LLC (NPI 1174370795), doing business as University Of Maryland St. Joseph Medical Group, is a healthcare organization registered as a general practice in Towson, Maryland and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through February 19, 2028 and lists Thomas Smyth, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1174370795
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameUNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP, LLC
Location Address515 FAIRMOUNT AVE STE 500Towson, MD 21286-8502
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Phone(410) 494-1662
Organization SubpartNo
Authorized OfficialThomas SmythPresident And Ceo · (410) 328-1376
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1174370795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

515 FAIRMOUNT AVE STE 500, Towson, MD 21286
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Other Names 1

Doing Business AsUniversity Of Maryland St. Joseph Medical Group

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 of Waiver 21D2067910

University Of Maryland St Joseph Medical Group · Towson, MD
Active · expires Feb 19, 2028
CLIA Number21D2067910
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorDr. Brian J. Bohner
Laboratory Phone(410) 832-3400
Laboratory LocationUniversity Of Maryland St Joseph Medical Group515 Fairmount Ave, Towson, MD 21286
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

KHOSROW TABASSI MD
Emergency Medicine
515 FAIRMOUNT AVE STE 500
TOWSON, MD 21286
Baltimore County (410) 494-1662
DR. JAMES WOMER MD, MHS
Internal Medicine (Pulmonary Disease)
515 FAIRMOUNT AVE STE 500
TOWSON, MD 21286
Baltimore County (410) 832-3400
UPPER CHESAPEAKE CRITICAL CARE ASSOCIATES, LLC
Internal Medicine (Critical Care Medicine)
515 FAIRMOUNT AVE STE 500
TOWSON, MD 21286
Baltimore County (410) 494-1662
DANIEL AARON GROVE MD
Internal Medicine (Pulmonary Disease)
515 FAIRMOUNT AVE STE 500
TOWSON, MD 21286
Baltimore County (410) 494-1662
MADHAT ANTOINE ARNOUK M.D
Internal Medicine (Pulmonary Disease)
515 FAIRMOUNT AVE STE 500
TOWSON, MD 21286
Baltimore County (718) 621-7100
DR. HASAN SHAKOOR M.D.
Internal Medicine (Pulmonary Disease)
515 FAIRMOUNT AVE STE 500
TOWSON, MD 21286
Baltimore County (410) 494-1662
UNIVERSITY OF MARYLAND PHYSICIANS, P.A.
Internal Medicine (Pulmonary Disease)
515 FAIRMOUNT AVE STE 500
BALTIMORE, MD 21286
Baltimore County (410) 832-3400
JOHN H EPPLER M.D.
Internal Medicine (Pulmonary Disease)
515 FAIRMOUNT AVE STE 500
TOWSON, MD 21286
Baltimore County (410) 494-1662

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 St. Joseph Medical Group, LLC's NPI number?

The NPI number for University Of Maryland St. Joseph Medical Group, LLC is 1174370795. It was assigned to this organization in the NPPES registry on May 1, 2024. The provider is doing business as University Of Maryland St. Joseph Medical Group.

Where is University Of Maryland St. Joseph Medical Group, LLC located?

University Of Maryland St. Joseph Medical Group, LLC is located at 515 Fairmount Ave Ste 500, Towson, MD 21286. The listed phone number is (410) 494-1662.

What is University Of Maryland St. Joseph Medical Group, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does University Of Maryland St. Joseph Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2067910) is associated with this NPI, valid through February 19, 2028. 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 St. Joseph Medical Group, LLC was last updated on May 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.