GENNESARET MEDICAL CENTER, LLC
NPI 1588962245
Clinic/Center - Primary Care in Laurel, MD

Q: What is Gennesaret Medical Center, LLC's NPI number?

The NPI number for Gennesaret Medical Center, LLC is 1588962245. It was assigned to this organization in the NPPES registry on March 4, 2011.

Q: What is Gennesaret Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since March 04, 2011

13992 BALTIMORE AVE STE 200, LAUREL, MD 20707(410) 528-6003(410) 528-6004 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Gennesaret Medical Center, Llc NPPES

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

GENNESARET MEDICAL CENTER, LLC (NPI 1588962245) is a healthcare organization registered as a primary care in Laurel, Maryland and active in the NPI registry since March 2011. The organization maintains a secondary practice location in Baltimore and lists Toyin Opesanmi, Physician, as its authorized official.

NPPES Registry Identity

NPI1588962245

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameGENNESARET MEDICAL CENTER, LLC

Location Address13992 BALTIMORE AVE STE 200Laurel, MD 20707-5010

Mailing Address12108 Early Lilacs PathClarksville, MD 21029-1676 · (410) 963-5870 · Fax (410) 528-6004

Phone(410) 528-6003

Fax(410) 528-6004

Organization SubpartNo

Authorized OfficialToyin OpesanmiPhysician · (410) 963-5870

Enumeration DateMarch 4, 2011

Last NPPES UpdateMay 17, 2019

✔ NPI 1588962245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in MD · D0059876

13992 BALTIMORE AVE STE 200, Laurel, MD 20707

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Secondary Practice Location 1

Location 11100 W Pratt StBaltimore, MD 21223-2689 · Phone (410) 528-6003 · Fax (410) 528-6004

Other Identifiers 1

Medicaid000911300MD

Other Providers at the Same Location NPPES

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

PHILOMENA ONWUEGBULE CRNP FAMILY

Nurse Practitioner (Family)

13992 BALTIMORE AVE STE 200
LAUREL, MD 20707

Prince George's County (240) 264-6704

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 Gennesaret Medical Center, LLC's NPI number?

The NPI number for Gennesaret Medical Center, LLC is 1588962245. It was assigned to this organization in the NPPES registry on March 4, 2011.

Where is Gennesaret Medical Center, LLC located?

Gennesaret Medical Center, LLC is located at 13992 Baltimore Ave Ste 200, Laurel, MD 20707. The listed phone number is (410) 528-6003.

What is Gennesaret Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Gennesaret Medical Center, LLC was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.