Medical Legacy LLC
NPI 1114189453 · Primary Care Clinic/Center · Randallstown, MD
Medical Legacy LLC is a Primary Care Clinic/Center organization in Randallstown, MD (NPI 1114189453).
Provider details
- NPI number
- 1114189453
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Olutoyin Okunoren, Practice Coordinator(410) 655-7100
- License
- D0023724 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-06-27
- Last updated
- 2008-06-27
Frequently asked questions
- What is Medical Legacy LLC's NPI number?
- Medical Legacy LLC's National Provider Identifier (NPI) is 1114189453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Legacy LLC?
- Medical Legacy LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Medical Legacy LLC located?
- Medical Legacy LLC's practice location on file with NPPES is 5310 Old Court Rd, Randallstown, MD 21133-5243.
- What is Medical Legacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Medical Legacy LLC is (410) 655-7100.
- Who is the authorized official for Medical Legacy LLC?
- The authorized official listed on Medical Legacy LLC's NPPES record is Olutoyin Okunoren, Practice Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Legacy LLC's NPI active?
- Yes — Medical Legacy LLC's NPI (1114189453) is active in the NPPES registry as of the last update on 2008-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.