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UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1487404588
Family Medicine in Easton, MD

Active since March 25, 2024CLIA Certified · 3 labs
522 IDLEWILD AVE, EASTON, MD 21601(410) 820-4888 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1487404588) is a healthcare organization registered as a family medicine in Easton, Maryland and active in the NPI registry since March 2024. The organization holds 3 active CLIA laboratory certificates and lists Paul Stephen Nicholson, Ao, as its authorized official.

NPPES Registry Identity

NPI1487404588
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Location Address522 IDLEWILD AVEEaston, MD 21601-3824
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Phone(410) 820-4888
Organization SubpartNo
Authorized OfficialPaul Stephen NicholsonAo · (410) 337-1602
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 23, 2024
✔ NPI 1487404588 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.
522 IDLEWILD AVE, Easton, MD 21601
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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 3

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 for Provider-Performed Microscopy Procedures (PPMP) 21D2109578

University Of Maryland Community Medical Group · Easton, MD
Active · expires Feb 28, 2028
CLIA Number21D2109578
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorPalak Doshi
Laboratory Phone(410) 820-4888
Laboratory LocationUniversity Of Maryland Community Medical Group522 Idlewild Avenue Suite 4, Easton, MD 21601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 21D2128686

University Of Maryland Community Medical Group · Chestertown, MD
Active · expires Jun 5, 2027
CLIA Number21D2128686
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorPalak Doshi
Laboratory Phone(410) 820-4888
Laboratory LocationUniversity Of Maryland Community Medical Group100 Brown Street Suite 2-200, Chestertown, MD 21620
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D2163221

University Of Maryland Community Medical Group · Denton, MD
Active · expires Mar 10, 2027
CLIA Number21D2163221
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorPalak Doshi
Laboratory Phone(410) 820-4888
Laboratory LocationUniversity Of Maryland Community Medical Group1140 Blades Farm Rd, Suite 103, Denton, MD 21629
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

STEPHEN R HANNA JR. M.D.
Specialist
522 IDLEWILD AVE
EASTON, MD 21601
Talbot County (410) 822-5571
AUDREY BOWES DRUMMEY M.D.
Obstetrics & Gynecology
522 IDLEWILD AVE
EASTON, MD 21601
Talbot County (410) 820-4888
DEBRA L TRIBETT CRNP
Nurse Practitioner
522 IDLEWILD AVE
EASTON, MD 21601
Talbot County (410) 822-5571
LILIANA COVEY CRNP
Nurse Practitioner (Women's Health)
522 IDLEWILD AVE
EASTON, MD 21601
Talbot County (410) 820-4888
DR. BENJAMIN FRANKLIN REMO M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
522 IDLEWILD AVE
EASTON, MD 21601
Talbot County (410) 822-5571
DR. TIMOTHY J SHANAHAN D.O.
Specialist
522 IDLEWILD AVE
EASTON, MD 21601
Talbot County (410) 822-5571
MOLLY MURPHY BERNISH CNM
Midwife
522 IDLEWILD AVE
EASTON, MD 21601
Talbot County (410) 820-4888
MRS. HELEN AMANDA OWEN PA-C
Physician Assistant
522 IDLEWILD AVE
EASTON, MD 21601
Talbot County (410) 822-5571

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 1487404588. It was assigned to this organization in the NPPES registry on March 25, 2024.

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

University Of Maryland Community Medical Group, Inc. is located at 522 Idlewild Ave, Easton, MD 21601. The listed phone number is (410) 820-4888.

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 CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for University Of Maryland Community Medical Group, Inc. was last updated on March 25, 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.