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UNIVERSITY OF MARYLAND PHYSICIANS P.A. NPI 1104877075


NPI Information

NPI: 1104877075
Provider Name: UNIVERSITY OF MARYLAND PHYSICIANS, P.A.

Doing Business As: UNIV OF MD MED GRP - GIM

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 21D2279613

Address:
22 S GREENE ST
BALTIMORE, MD
ZIP 21201
Phone: (667) 214-1515
Get Directions

UNIVERSITY OF MARYLAND PHYSICIANS, P.A. is an internal medicine in Baltimore, MD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. UNIVERSITY OF MARYLAND PHYSICIANS, P.A. NPI is 1104877075. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Univ Of Md Med Grp - Gim.

The provider's business location address is:

22 S GREENE ST
BALTIMORE, MD
ZIP 21201-590
Phone: (667) 214-1515
Fax: (410) 328-8326

The provider's authorized official is Kimberly Lingenfelter .
The authorized official title is Credentialing Specialist and has the following contact phone number (410) 328-8040.

The CLIA number assigned to this NPI record is 21D2279613 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 4/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineMARYLANDNo
2207RH0002XInternal MedicineHospice and Palliative MedicineNo
3207RH0005XInternal MedicineHypertension SpecialistNo
4207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11104877075MEDICAIDDELAWARE
2034460902MEDICAIDDISTRICT OF COLUMBIA
3764571600MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.