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

Ellicott City Primary Care Medicine PA

Organization Internal Medicine Physician · NPI 1033391081

Ellicott City Primary Care Medicine PA is an Internal Medicine Physician in Ellicott City, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10298B Baltimore National Pike
Ellicott City, MD 21042-3670
Phone: (410) 465-1091
Fax: (410) 465-8129
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D0028246 (MD)

Record details

NPI number1033391081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Sheehan — President · (410) 465-1090
NPI enumeratedDecember 2, 2007
Last updated in NPPESSeptember 17, 2012
Mailing address10298b Baltimore National Pike, Ellicott City, MD 21042-3670

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