Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OWENSVILLE PRIMARY CARE, INC
Active OrganizationOWENSVILLE PRIMARY CARE, INC is a Family Medicine organization located in SHADY SIDE, Maryland. NPI 1174019327 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SHADY SIDE, MD
Registration Details
- NPI Number
- 1174019327
- Provider Type
- Organization
- NPI Issued
- Jul 10, 2018 (8.0851712832588 yrs)
- Last Updated
- Sep 2, 2025
- Licenses
-
LC0431 (MD)H78924 (MD)D0038563 (MD)H0076407 (MD)
Practice Information
- Address
-
6131 SHADY SIDE RDSHADY SIDE, MD, 207649504Browse MD providers · Browse ZIP 20764
- Phone
- 4108672200
- Fax
- 4108671261
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Public Health & General Preventive Medicine
- Additional Specialty
- Federally Qualified Health Center
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.