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UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1679373468
Family Medicine in Glen Burnie, MD

Active since March 19, 2025
1417 MADISON PARK DR, GLEN BURNIE, MD 21061(410) 768-6600 Get Directions Write a Review

NPPES record last updated: March 19, 2025. 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 1679373468) is a healthcare organization registered as a family medicine in Glen Burnie, Maryland and active in the NPI registry since March 2025. The organization lists Paul Stephen Nicholson, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1679373468
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Location Address1417 MADISON PARK DRGlen Burnie, MD 21061-5613
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924 · (443) 462-5010
Phone(410) 768-6600
Organization SubpartNo
Authorized OfficialPaul Stephen NicholsonSenior Vice President · (410) 337-1602
Enumeration DateMarch 19, 2025
NPPES CertifiedMarch 19, 2025
✔ NPI 1679373468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPediatricsTaxonomy 208000000X
1417 MADISON PARK DR, Glen Burnie, MD 21061
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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

Other Providers at the Same Location NPPES 13

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

SAMUEL C YOON MD
Internal Medicine (Cardiovascular Disease)
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-6600
JAY B PENAFIEL MD
Internal Medicine (Cardiovascular Disease)
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-6600
THE HEART CENTER OF NORTHERN ANNE ARUNDEL COUNTY PA
Internal Medicine (Cardiovascular Disease)
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-6600
MARC OKUN MD
Internal Medicine (Cardiovascular Disease)
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-6600
UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON HEART ASSOCIATES LLC
Internal Medicine (Cardiovascular Disease)
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-6600
KAREN J DANIELS CRNP
Nurse Practitioner
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-6600
KEVIN J DOYLE MD
Internal Medicine (Cardiovascular Disease)
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-6600
LIDIA ELIZABETH DAVILA CRNP
Clinical Nurse Specialist (Acute Care)
1417 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-6600

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 1679373468. It was assigned to this organization in the NPPES registry on March 19, 2025.

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

University Of Maryland Community Medical Group, Inc. is located at 1417 Madison Park Dr, Glen Burnie, MD 21061. The listed phone number is (410) 768-6600.

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.

When was this NPI record last updated?

The NPPES record for University Of Maryland Community Medical Group, Inc. was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.