PETRO HEALTH LLC
NPI 1780087858
Clinic/Center - Primary Care in Glen Burnie, MD

Active since October 03, 2014
1403 MADISON PARK DR, SUITE 200, GLEN BURNIE, MD 21061(202) 317-1609 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Petro Health Llc NPPES

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

PETRO HEALTH LLC (NPI 1780087858) is a healthcare organization registered as a primary care in Glen Burnie, Maryland and active in the NPI registry since October 2014. The organization lists Armel Simo, President/physician, as its authorized official.

NPPES Registry Identity

NPI1780087858
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePETRO HEALTH LLC
Location Address1403 MADISON PARK DR, SUITE 200Glen Burnie, MD 21061-6189
Mailing Address4021 Zuni CtEllicott City, MD 21043-5448 · (410) 487-6902 · Fax (410) 487-6982
Organization SubpartNo
Authorized OfficialArmel SimoPresident/physician · (202) 317-1609
Enumeration DateOctober 3, 2014
Last NPPES UpdateOctober 20, 2016
NPI 1780087858 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 · D75893
1403 MADISON PARK DR, Glen Burnie, MD 21061

Other Providers at the Same Location NPPES 3

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

Internal Medicine
1403 MADISON PARK DR
GLEN BURNIE, MD 21061
Nurse Practitioner (Family)
1403 MADISON PARK DR
GLEN BURNIE, MD 21061
Specialist
1403 MADISON PARK DR, SUITE 100
GLEN BURNIE, MD 21061

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 Petro Health LLC's NPI number?

The NPI number for Petro Health LLC is 1780087858. It was assigned to this organization in the NPPES registry on October 3, 2014.

Where is Petro Health LLC located?

Petro Health LLC is located at 1403 Madison Park Dr Suite 200, Glen Burnie, MD 21061. The listed phone number is (202) 317-1609.

What is Petro Health 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 Petro Health LLC was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.