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

Port Recovery Physicians Care LLC

Organization Internal Medicine Physician · NPI 1124470356

Port Recovery Physicians Care LLC is an Internal Medicine Physician in Nottingham, Maryland. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8615 Ridgelys Choice Dr Ste 205
Nottingham, MD 21236-3028
Phone: (443) 869-4909
Fax: (443) 869-4928
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1124470356
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanne Granruth — Owner · (410) 534-8735
NPI enumeratedJuly 12, 2016
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address8615 Ridgelys Choice Dr Ste 205, Nottingham, MD 21236-3028

Other providers in Nottingham