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UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1770330540
Family Medicine in Millersville, MD

Active since May 01, 2024CLIA 21D0986175 · Waiver
8601 VETERANS HWY, 111, MILLERSVILLE, MD 21108(410) 553-8090 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 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 1770330540) is a healthcare organization registered as a family medicine in Millersville, Maryland and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Paul Stephen Nicholson, Ao, as its authorized official.

NPPES Registry Identity

NPI1770330540
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Location Address8601 VETERANS HWY, 111Millersville, MD 21108-1571
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Phone(410) 553-8090
Organization SubpartNo
Authorized OfficialPaul Stephen NicholsonAo · (410) 337-1602
Enumeration DateMay 1, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1770330540 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.

8601 VETERANS HWY, Millersville, MD 21108
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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

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 21D0986175

University Of Maryland Community Medical Group · Millersville, MD
Active · expires Jan 16, 2027
CLIA Number21D0986175
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorBahador Momeni
Laboratory Phone(410) 553-8090
Laboratory LocationUniversity Of Maryland Community Medical Group8601 Veterans Hwy Ste 111, Millersville, MD 21108
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 20

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

DR. ELLEN BREEN CASSIDY MD
Family Medicine
8601 VETERANS HWY, STE 204
MILLERSVILLE, MD 21108
Anne Arundel County (410) 553-8092
KIMLOAN MERCHANT NP
Nurse Practitioner (Gerontology)
8601 VETERANS HWY
MILLERSVILLE, MD 21108
Anne Arundel County (410) 553-8092
UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA
Clinic/Center (Multi-Specialty)
8601 VETERANS HWY
MILLERSVILLE, MD 21108
Anne Arundel County (410) 771-9220
JOSEPHINE NWOKO GNP-BC
Nurse Practitioner (Gerontology)
8601 VETERANS HWY, SUITE 211
MILLERSVILLE, MD 21108
Anne Arundel County (410) 553-8092
RACHEL GRABILL MIDWINTER PA
Physician Assistant (Medical)
8601 VETERANS HWY
MILLERSVILLE, MD 21108
Anne Arundel County (410) 934-5400
PEDIATRICARE, INC.
Pediatrics
8601 VETERANS HWY, SUITE 201
MILLERSVILLE, MD 21108
Anne Arundel County (410) 923-1505
DR. BLAINE E SMITH MD
Radiology (Diagnostic Radiology)
8601 VETERANS HWY, SUITE 100
MILLERSVILLE, MD 21108
Anne Arundel County (410) 729-4451
JENNIFER LEE RIEDINGER M.D.
Internal Medicine
8601 VETERANS HWY, SUITE 204
MILLERSVILLE, MD 21108
Anne Arundel County (410) 729-0424

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 1770330540. It was assigned to this organization in the NPPES registry on May 1, 2024.

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

University Of Maryland Community Medical Group, Inc. is located at 8601 Veterans Hwy 111, Millersville, MD 21108. The listed phone number is (410) 553-8090.

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 21D0986175) is associated with this NPI, valid through January 16, 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 May 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.