UNIVERSITY OF MARYLAND ATHLETICS-COLLEGE PARK - NPI 1245609494

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.

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About University Of Maryland Athletics-college Park NPPES

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

UNIVERSITY OF MARYLAND ATHLETICS-COLLEGE PARK (NPI 1245609494) is a healthcare organization registered as a sports medicine in College Park, Maryland and active in the NPI registry since September 2015. The organization lists Steve Nordwall, Director Of Sports Medicine, as its authorized official.

NPPES Registry Identity

NPI1245609494

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameUNIVERSITY OF MARYLAND ATHLETICS-COLLEGE PARK

Location Address379 FIELD HOUSE DRCollege Park, MD 20742-0001

Mailing Address379 Field House DrCollege Park, MD 20742-0001 · (301) 314-2663 · Fax (301) 314-6549

Phone(301) 314-2663

Fax(301) 314-6549

Organization SubpartNo

Authorized OfficialSteve NordwallDirector Of Sports Medicine · (301) 314-2663

Enumeration DateSeptember 17, 2015

✔ NPI 1245609494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in MD · D0050588

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

379 FIELD HOUSE DR, College Park, MD 20742

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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

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 Compliance 21D0014230

University Of MD Health Center Laboratory · College Park, MD

Active · expires Aug 29, 2027

CLIA Number21D0014230

Laboratory TypeSchool/Student Health Service

Certificate Effective DateAugust 30, 2025

Certificate Expiration DateAugust 29, 2027

Laboratory DirectorDr. Joy L. Howard

Laboratory Phone(301) 314-8173

Laboratory LocationUniversity Of MD Health Center LaboratoryCampus Drive Bldg 140 #1163, College Park, MD 20742

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 14

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

UNIVERSITY OF MARYLAND

Clinic/Center (Rehabilitation)

379 FIELD HOUSE DR, GOSSETT FOOTBALL TEAM HOUSE
COLLEGE PARK, MD 20742

Prince George's County (301) 314-2663

MR. ISAAC S TRUJILLO JR. ATC