PREMIER MEDICAL GROUP OF MARYLAND LLC
NPI 1972368587
Clinic/Center - Primary Care in Catonsville, MD

Q: What is Premier Medical Group Of Maryland LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since February 14, 2024

516 N ROLLING RD STE 108, CATONSVILLE, MD 21228(410) 709-7432 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Premier Medical Group Of Maryland Llc NPPES

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

PREMIER MEDICAL GROUP OF MARYLAND LLC (NPI 1972368587) is a healthcare organization registered as a primary care in Catonsville, Maryland and active in the NPI registry since February 2024. The organization lists Mary Olubunmi Fakorede, Md, as its authorized official.

NPPES Registry Identity

NPI1972368587

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePREMIER MEDICAL GROUP OF MARYLAND LLC

Location Address516 N ROLLING RD STE 108Catonsville, MD 21228-4141

Mailing Address516 N Rolling Rd Ste 108Catonsville, MD 21228-4141 · (410) 709-7432

Phone(410) 709-7432

Organization SubpartNo

Authorized OfficialMary Olubunmi FakoredeMd · (410) 709-7432

Enumeration DateFebruary 14, 2024

NPPES CertifiedFebruary 14, 2024

✔ NPI 1972368587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

516 N ROLLING RD STE 108, Catonsville, MD 21228

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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 Premier Medical Group Of Maryland LLC's NPI number?

The NPI number for Premier Medical Group Of Maryland LLC is 1972368587. It was assigned to this organization in the NPPES registry on February 14, 2024.

Where is Premier Medical Group Of Maryland LLC located?

Premier Medical Group Of Maryland LLC is located at 516 N Rolling Rd Ste 108, Catonsville, MD 21228. The listed phone number is (410) 709-7432.

What is Premier Medical Group Of Maryland 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 Premier Medical Group Of Maryland LLC was last updated on February 14, 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.