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BLACKWATER MEDICAL ASSOCIATES, LLC
NPI 1508986092
Family Medicine in Cambridge, MD

Active since March 30, 2007
408 BYRN ST, CAMBRIDGE, MD 21613(410) 228-1068 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blackwater Medical Associates, Llc NPPES

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

BLACKWATER MEDICAL ASSOCIATES, LLC (NPI 1508986092) is a healthcare organization registered as a family medicine in Cambridge, Maryland and active in the NPI registry since March 2007. The organization lists Mark M Malkus, President, as its authorized official.

NPPES Registry Identity

NPI1508986092
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLACKWATER MEDICAL ASSOCIATES, LLC
Location Address408 BYRN STCambridge, MD 21613-1910
Mailing Address408 Byrn StCambridge, MD 21613-1910 · (410) 228-1068
Phone(410) 228-1068
Organization SubpartNo
Authorized OfficialMark M MalkusPresident · (410) 228-1068
Enumeration DateMarch 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508986092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0050804
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.
408 BYRN ST, Cambridge, MD 21613
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Other Identifiers 1

Medicaid7810000800MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. MARK MUMFORD MALKUS M.D.
Family Medicine
408 BYRN ST
CAMBRIDGE, MD 21613
Dorchester County (410) 228-1068
BLACKWATER MEDICAL ASSOCIATES, LLC
Specialist
408 BYRN ST
CAMBRIDGE, MD 21613
Dorchester County (410) 228-1068

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 Blackwater Medical Associates, LLC's NPI number?

The NPI number for Blackwater Medical Associates, LLC is 1508986092. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Blackwater Medical Associates, LLC located?

Blackwater Medical Associates, LLC is located at 408 Byrn St, Cambridge, MD 21613. The listed phone number is (410) 228-1068.

What is Blackwater Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Blackwater Medical Associates, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.