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University Of Maryland Community Medical Group, INC.

Pediatrics in Chestertown, MD. Organization (NPI-2).

NPI number1023940343
StatusActive
Last updated in NPPESJun 1, 2026

Details

NPI
1023940343
Entity type
Organization (NPI-2)
Legal business name
University Of Maryland Community Medical Group, INC.
Organization subpart
No
Enumeration date
Jun 1, 2026
Certification date
Jun 1, 2026
Last updated
Jun 1, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes
207Q00000X Family Medicine––

Practice location

100 Brown St Ste 1-100
Chestertown, MD 21620-1435

Phone 667-343-3087

Mailing address

900 Elkridge Landing Rd Fl 2
Linthicum, MD 21090-2924

Authorized official

Paul Stephen Nicholson
Senior Vice President
4103371602

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatrics Physician providers in Chestertown, MD

All 5 Pediatrics Physician providers in Chestertown · All 414 providers in Chestertown

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