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NPI 1104987270ActiveOrganization· Family Medicine· Baltimore, MD

Family Medicine in Baltimore, Maryland, registered in NPPES in December 2006. The authorized official on file is Wanda J. Simmons-Clemm, MD, Owner.

Overview

NPI1104987270
StatusActive
Entity typeOrganization
NPI issuedDec 13, 2006
Last updated in NPPESJun 23, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000XD0035674MD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Baltimore

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