Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

University of Maryland Community Medical Group, Inc

Organization Family Medicine Physician · NPI 1609693118

University of Maryland Community Medical Group, Inc provides Family Medicine Physician services in LA Plata, Maryland. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Centennial St Ste E
LA Plata, MD 20646-5976
Phone: (301) 392-0525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1609693118
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Nicholson — Senior Vice President · (410) 337-1602
NPI enumeratedSeptember 25, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024
Mailing address900 Elkridge Landing Rd Fl 2, Linthicum, MD 21090-2924

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