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CENTENNIAL MEDICAL GROUP, PA
NPI 1306477849
General Practice in Gambrills, MD

Active since February 03, 2020
1071 MD RT 3 N STE 101, GAMBRILLS, MD 21054(410) 721-2333 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Centennial Medical Group, Pa NPPES

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

CENTENNIAL MEDICAL GROUP, PA (NPI 1306477849) is a healthcare organization registered as a general practice in Gambrills, Maryland and active in the NPI registry since February 2020. The organization lists Ron Elfenbein, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1306477849
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCENTENNIAL MEDICAL GROUP, PA
Location Address1071 MD RT 3 N STE 101Gambrills, MD 21054-1784
Mailing Address5005 Signal Bell Ln Ste 200Clarksville, MD 21029-2608 · (410) 730-3399
Phone(410) 721-2333
Organization SubpartYesParent: Centennial Medical Group
Authorized OfficialRon ElfenbeinMedical Director · (410) 721-2333
Enumeration DateFebruary 3, 2020
✔ NPI 1306477849 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
1071 MD RT 3 N STE 101, Gambrills, MD 21054
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Other Names 1

Other NameCentennial 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

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.

FIRST CALL MEDICAL CENTER LLC
Clinic/Center (Urgent Care)
1071 MD RT 3 N STE 101
GAMBRILLS, MD 21054
Anne Arundel County (410) 721-2333
FIRST CALL MEDICAL CENTER GAMBRILLS
Clinic/Center (Urgent Care)
1071 MD RT 3 N STE 101
GAMBRILLS, MD 21054
Anne Arundel County (410) 721-2333
MRS. RAELYNN TORZONE PHYSICIAN ASSISTANT
Physician Assistant
1071 MD RT 3 N STE 101
GAMBRILLS, MD 21054
Anne Arundel County (410) 721-2333

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 Centennial Medical Group, PA's NPI number?

The NPI number for Centennial Medical Group, PA is 1306477849. It was assigned to this organization in the NPPES registry on February 3, 2020. The provider is also known as Centennial Medical Group.

Where is Centennial Medical Group, PA located?

Centennial Medical Group, PA is located at 1071 MD Rt 3 N Ste 101, Gambrills, MD 21054. The listed phone number is (410) 721-2333.

What is Centennial Medical Group, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Centennial Medical Group, PA was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.