Injury Treatment Center of Maryland,llc
NPI 1992824486ActiveOrganization· General Practice· Randallstown, MD
General Practice in Randallstown, Maryland, registered in NPPES in March 2007. The authorized official on file is Evan J. Wagenheim, Practice Administrator.
Overview
| NPI | 1992824486 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | MD |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other General Practice providers in Randallstown
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