Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambush Pediatrics and Family Medical Clinic

Organization Adolescent Medicine (Family Medicine) Physician · NPI 1457956948

Ambush Pediatrics and Family Medical Clinic is an Adolescent Medicine (Family Medicine) Physician in Halethorpe, Maryland. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

4367 Hollins Ferry Rd Ste 1C
Halethorpe, MD 21227-3400
Phone: (410) 609-6677
Fax: (410) 609-6672
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5252 Hollister St Ste 203c, Houston, TX 77040-6214 — (346) 678-4442

Specialties & licences

Adolescent Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0000X
Health Service Clinic/Center Taxonomy 261QH0100X

Record details

NPI number1457956948
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Ambush — Owner/Operator · (410) 707-5947
Other names Ambush Pediatrics And Family Medical Clinic
NPI enumeratedDecember 2, 2020
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address4367 Hollins Ferry Rd Ste 1c, Halethorpe, MD 21227-3400