UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1447005707
Family Medicine in Galena, MD

Q: 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.

Active since April 20, 2024CLIA 21D2034631 · Waiver

119 C N MAIN STREET, GALENA, MD 21635(410) 648-5150 Get Directions Write a Review

NPPES record last updated: April 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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 1447005707) is a healthcare organization registered as a family medicine in Galena, Maryland and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through December 28, 2027 and lists Paul Stephen Nicholson, Ao, as its authorized official.

NPPES Registry Identity

NPI1447005707

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.

Location Address119 C N MAIN STREETGalena, MD 21635-1555

Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924

Phone(410) 648-5150

Organization SubpartNo

Authorized OfficialPaul Stephen NicholsonAo · (410) 337-1602

Enumeration DateApril 20, 2024

NPPES CertifiedApril 20, 2024

✔ NPI 1447005707 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.

119 C N MAIN STREET, Galena, MD 21635

Open in Google Maps ↗

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 21D2034631

University Of Maryland Community Medical Group · Galena, MD

Active · expires Dec 28, 2027

CLIA Number21D2034631

Laboratory TypePhysician Office

Certificate Effective DateDecember 29, 2025

Certificate Expiration DateDecember 28, 2027

Laboratory DirectorLisa Mcdonald

Laboratory Phone(410) 648-5150

Laboratory LocationUniversity Of Maryland Community Medical Group119 C N Main Street, Galena, MD 21635

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. FREDERICK PAUL VANDUSEN DO

Family Medicine

119 C N MAIN STREET
GALENA, MD 21635

Kent County (410) 648-5150

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 1447005707. It was assigned to this organization in the NPPES registry on April 20, 2024.

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

University Of Maryland Community Medical Group, Inc. is located at 119 C N Main Street, Galena, MD 21635. The listed phone number is (410) 648-5150.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2034631) is associated with this NPI, valid through December 28, 2027. 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 Community Medical Group, Inc. was last updated on April 20, 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.