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

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: July 19, 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 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


The following 20 providers are registered at the same or a nearby location.

MS. MARIESA KINCH CRNP
Nurse Practitioner
12070 OLD LINE CTR, STE 207
WALDORF, MD 20602
Charles County (301) 870-0660
JOSEPH RAYMOND MURPHY M.D.
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, STE 200
WALDORF, MD 20602
Charles County (301) 645-8035
LORNETTE B MILLS MD
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, STE 200
WALDORF, MD 20602
Charles County (301) 645-8035
KHADAR BAIG MD
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, STE 200
WALDORF, MD 20602
Charles County (301) 645-8035
SEETARAMAYYA NAGULA M.D.
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, SUITE 200
WALDORF, MD 20602
Charles County (301) 645-8035
MICHAEL A LEATHERWOOD MD
Internal Medicine
12070 OLD LINE CTR, SUITE 302
WALDORF, MD 20602
Charles County (301) 645-6667
ROBERT TIMOTHY PACE MD
Family Medicine
12070 OLD LINE CTR, SUITE 302
WALDORF, MD 20602
Charles County (301) 645-6667
CONOR F LUNDERGAN M.D.
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, STE 303
WALDORF, MD 20602
Charles County (301) 475-3240
JOSEPH EDGAR JAWORSKI, PA-C
Physician Assistant
12070 OLD LINE CTR, SUITE 302
WALDORF, MD 20602
Charles County (301) 645-6667
PACE & LEATHERWOOD, PC
Family Medicine
12070 OLD LINE CTR, SUITE 302
WALDORF, MD 20602
Charles County (301) 645-6667
DIAGNOSTIC HEALTH CORPORATION
Physiological Laboratory
12070 OLD LINE CTR, SUITE 305
WALDORF, MD 20602
Charles County (301) 870-4190
MARYLAND HEALTHCARE ASSOCIATES LLC
Internal Medicine
12070 OLD LINE CTR, SUITE 100
WALDORF, MD 20602
Charles County (301) 705-7870
WILLIAM J LEVY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12070 OLD LINE CTR, SUITE 102
WALDORF, MD 20602
Charles County (301) 870-4100
WILLIAM JOHN OETGEN M.D.
Specialist
12070 OLD LINE CTR, SUITE 100
WALDORF, MD 20602
Charles County (301) 705-7870
DR. AYMAN RAJAI HAKKI M.D.
Specialist
12070 OLD LINE CTR, #306
WALDORF, MD 20602
Charles County (301) 843-9769
DR. DARRELL ADRIAN CLARK D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
12070 OLD LINE CTR
WALDORF, MD 20602
Charles County (301) 638-0282
DR. DARRELL ADRIAN CLARK D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
12070 OLD LINE CTR
WALDORF, MD 20602
Charles County (301) 638-0282
DR. GOWRI KULARATNA M.D.
Internal Medicine
12070 OLD LINE CTR, SUITE 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
HOTCHKISS SURGICAL CENTER, LLC
Clinic/Center (Ambulatory Surgical)
12070 OLD LINE CTR, SUITE 110
WALDORF, MD 20602
Charles County (301) 843-9581

Frequently Asked Questions

What is UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1902653231, enumerated as an "organization" on May 03, 2024.

Where is the provider located?

The provider is located at 12070 OLD LINE CTR WALDORF, MD 20602 and the phone number is (301) 645-5100.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.