Organization · Type 2 NPI
Owensville Primary Care, Inc
Family Medicine Physician · Shady Side, MD
Practice location
6131 Shady Side Rd
Shady Side, MD 20764-9504
Fax (410) 867-1261
Mailing address
134 Owensville Rd
West River, MD 20778-9702
Other practice locations
- 5408 Southern Maryland Blvd, Lothian, MD 20711-2601 · (410) 867-4700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | LC0431 (MD) |
| Family Medicine Physician | 207Q00000X | H78924 (MD) |
| Family Medicine Physician Primary | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | D0038563 (MD) |
| Public Health & General Preventive Medicine Physician | 2083P0901X | H0076407 (MD) |
| Federally Qualified Health Center (FQHC) | 261QF0400X | None listed |
| Physician Assistant | 363A00000X | C0003844 (MD) |
| Primary Care Nurse Practitioner | 363LP2300X | R124971 (MD) |
Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Another provider at this address
About NPI 1174019327
Owensville Primary Care, Inc's National Provider Identifier is 1174019327, issued on Jul 10, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Shady Side, MD. The record was last updated on Sep 2, 2025.