MARYLAND SPECIALTY GROUP LLC


Address: 12200 Annapolis Rd, Ste 123, Glenn Dale, MD 20769-9182
Phone: 3015529495

MARYLAND SPECIALTY GROUP LLC (NPI# 1114362845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114362845
Entity Type Organization
Organization Name MARYLAND SPECIALTY GROUP LLC
Other Organization Name ULTIMA CARE LLC
Practice Address 12200 Annapolis Rd
Ste 123
Glenn Dale
MD 20769-9182
Mailing Address Po Box 2056
Bowie
MD 20718-2056
Practice Telephone 3015529495
Practice Fax Number 3015529743
Mailing Telephone 3015529495
Mailing Fax Number 3015529743
Enumeration Date 2013-05-08
Last Update Date 2013-05-08
Authorized Official Name NAOMI NWAGWE (BILLING MANAGER)
Authorized Official Telephone 3015529495
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207V00000X Obstetrics & Gynecology MD Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
MD Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
ULTIMA CARE LLC Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023157781 Maryland Specialty Group LLC Internal Medicine 12200 Annapolis Rd, Suite# 123, Glenn Dale, MD 20769-9182 2007-02-06

Office Location

Street Address 12200 ANNAPOLIS RD
STE 123
City GLENN DALE
State MD
Zip Code 20769-9182

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265472567 Ikechi F Okwara Internal Medicine 12200 Annapolis Rd, Ste 316, Glenn Dale, MD 20769-9182 2006-06-07
1932576378 Sports Pro Physical Therapy LLC. Physical Therapist 12200 Annapolis Rd, #119, Glenn Dale, MD 20769-9182 2015-09-01
1770982423 Dominique Leary Physical Therapist 12200 Annapolis Rd, Glenn Dale, MD 20769-9182 2014-08-19
1659795391 Kelsi Davis Physical Therapist 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 2014-02-18
1023446002 Wholistic Restorations LLC Clinic/Center 12200 Annapolis Rd, Suite 320, Glenn Dale, MD 20769-9182 2013-10-29
1124460621 Advanced Eye Care Medical Center Ophthalmology 12200 Annapolis Rd, Suite 116, Glenn Dale, MD 20769-9182 2013-07-24
1962842401 Phs Family Medicine Glenn Dale General Acute Care Hospital 12200 Annapolis Rd, Suite 118, Glenn Dale, MD 20769-9182 2013-06-28
1629317201 Nikisha Gandhi Physical Therapist 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 2013-02-02
1891042578 Sherri Crable Physical Therapist 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 2012-08-13
1255696647 Nicole C Lawson Occupational Therapist 12200 Annapolis Rd, Suite 225, Glenn Dale, MD 20769-9182 2012-07-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023585676 Ifeoma C Onyeiwu Nurse Practitioner Krystal Medical Associates, 12150 Annapolis Rd, Suite 100, Glenndale, MD 20769 2018-10-31
1124593983 Olivia Kaindaneh Technician 10809 Glandshire Dr, Glandale, MD 20769 2018-10-09
1154810505 Cassie Leghu Home Health Aide 5108 Janesdale Court, Glenn Dale, MD 20769 2018-05-01
1033659164 Eternal Dermatology and Aesthetic Center LLC Dermatology 12150 Annapolis Rd Ste 213, Glenn Dale, MD 20769 2017-03-08
1881957934 Angela Teresa Dudley Hamilton Counselor 11415 Old Pond Drive, Glenn Dale, MD 20769 2012-06-22
1144597923 Jaj Health Care Services,llc Clinical Nurse Specialist 12150 Annapolis Rd # 205, Glenndale, MD 20769 2011-11-22
1831493030 Evidence Physical Therapy, LLC Physical Therapist 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 2011-01-03
1972731867 Linh Nguyen Pharmacist 10831 Lanham Severn Rd, Glenn Dale, MD 20769 2009-06-30
1417141557 Sharon Evette Hawks Nutritionist 12150 Annapolis Rd., Ste. 104, Glenn Dale, MD 20769 2007-08-31
1871715441 Beth S Warner Psychologist 1107 Shoemaker Bldg., U. of Md Counseling Center, Glenn Dale, MD 20769 2007-05-03
Find all providers in zip 20769

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326678731 Nova Vascular Specialists, LLC Surgery 1952 Pulaski Hwy Ste B-2, Edgewood, MD 21040-1658 2020-01-24
1033683339 Vein and Vascular Institute of Central Maryland Surgery 1300 York Rd Ste 200, Lutherville, MD 21093-6090 2019-01-20
1932651312 Elham Oumer Surgery 8730 Cherry Ln Ste 10, Laurel, MD 20707-6212 2016-11-01
1255742961 Marta Vismer Surgery 19942 Gateshead Cir, Germantown, MD 20876-6311 2014-05-15
1023448305 Samer Saiedy Md Gb LLC Surgery 1811 Crain Hwy S, Glen Burnie, MD 21061-5561 2013-11-22
1285077289 Lucy Kupersmith Surgery 2002 Medical Pkwy Ste 502, Annapolis, MD 21401 2013-04-10
1316227150 Joshua Dearing Surgery 7503 Surratts Rd Ste 208, Clinton, MD 20735-3358 2011-08-25
1861782492 Norman Anthony Odyniec Surgery 9208 Levelle Dr, Chevy Chase, MD 20815-5604 2011-04-16
1730480872 James F Mcguckin Md of Md Pa Surgery 3450 Old Washington Rd Ste 202, Waldorf, MD 20602-3250 2010-11-05
1194952796 James M Salander, Md Pa Surgery 11119 Rockville Pile, #204, Rockville, MD 20852 2009-06-22
Find all providers with the same taxonomy

Competitor

Search similar providers

City GLENN DALE
Zip Code 20769

Improve Information

Please comment or provide details below to improve the information on MARYLAND SPECIALTY GROUP LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches