UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1902653231
Family Medicine in Waldorf, MD

Q: 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.

Active since May 03, 2024

12070 OLD LINE CTR, WALDORF, MD 20602(301) 645-5100 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1902653231) is a healthcare organization registered as a family medicine in Waldorf, Maryland and active in the NPI registry since May 2024. The organization lists Paul Stephen Nicholson, Senior Vice President - Chief Finan, as its authorized official.

NPPES Registry Identity

NPI1902653231

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.

Location Address12070 OLD LINE CTRWaldorf, MD 20602-2513

Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924

Phone(301) 645-5100

Organization SubpartNo

Authorized OfficialPaul Stephen NicholsonSenior Vice President - Chief Finan · (410) 337-1602

Enumeration DateMay 3, 2024

NPPES CertifiedMay 3, 2024

✔ NPI 1902653231 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.

12070 OLD LINE CTR, Waldorf, MD 20602

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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 20

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

WILLIAM JOHN OETGEN M.D.

Specialist

12070 OLD LINE CTR, SUITE 100
WALDORF, MD 20602

Charles County (301) 705-7870

SEETARAMAYYA NAGULA M.D.

Internal Medicine (Gastroenterology)

12070 OLD LINE CTR, SUITE 200
WALDORF, MD 20602

Charles County (301) 645-8035

JOSEPH RAYMOND MURPHY M.D.

Internal Medicine (Gastroenterology)

12070 OLD LINE CTR, STE 200
WALDORF, MD 20602

Charles County (301) 645-8035

MS. JENNIFER LYNN KNODE PAC

Physician Assistant (Medical)

12070 OLD LINE CTR, STE 207
WALDORF, MD 20602

Charles County (301) 870-0660

JESSICA KHOURY MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

12070 OLD LINE CTR
SAINT CHARLES, MD 20602

Charles County (301) 870-4100

DR. DAWN STEPHANIE CHRISTOPHER MD

Internal Medicine (Cardiovascular Disease)

12070 OLD LINE CTR, SUITE 303
WALDORF, MD 20602

Charles County (301) 645-5100

ROBERT TIMOTHY PACE MD

Family Medicine

12070 OLD LINE CTR, SUITE 302
WALDORF, MD 20602

Charles County (301) 645-6667

TERENCE BERTELE M.D.

Internal Medicine (Cardiovascular Disease)

12070 OLD LINE CTR, STE 303
WALDORF, MD 20602

Charles County (301) 645-5100

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 1902653231. It was assigned to this organization in the NPPES registry on May 3, 2024.

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

University Of Maryland Community Medical Group, Inc. is located at 12070 Old Line Ctr, Waldorf, MD 20602. The listed phone number is (301) 645-5100.

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 May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.