1. Home
  2. Directory
  3. Maryland
  4. Waldorf
  5. Family Medicine
  6. NPI Profile

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1902651680
Family Medicine in Waldorf, MD

Active since April 17, 2024
11340 PEMBROOKE SQ STE 214, WALDORF, MD 20603(301) 609-5006 Get Directions Write a Review

NPPES record last updated: April 17, 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 1902651680) is a healthcare organization registered as a family medicine in Waldorf, Maryland and active in the NPI registry since April 2024. The organization lists Paul Stephen Nicholson, Ao, as its authorized official.

NPPES Registry Identity

NPI1902651680
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Location Address11340 PEMBROOKE SQ STE 214Waldorf, MD 20603-4808
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Phone(301) 609-5006
Organization SubpartNo
Authorized OfficialPaul Stephen NicholsonAo · (410) 337-1602
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1902651680 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.

11340 PEMBROOKE SQ STE 214, Waldorf, MD 20603
Open in Google Maps ↗

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 2

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

OUTREACH RECOVERY II, LLC
Counselor (Addiction (Substance Use Disorder))
11340 PEMBROOKE SQ STE 214
WALDORF, MD 20603
Charles County (877) 889-4829
OUTREACH RECOVERY II, LLC
Preventive Medicine (Addiction Medicine)
11340 PEMBROOKE SQ STE 214
WALDORF, MD 20603
Charles County (410) 800-4466

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 1902651680. It was assigned to this organization in the NPPES registry on April 17, 2024.

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

University Of Maryland Community Medical Group, Inc. is located at 11340 Pembrooke Sq Ste 214, Waldorf, MD 20603. The listed phone number is (301) 609-5006.

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 April 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.