OrganizationActive
Immediate Care Medical Center
NPI 1609950146 · Family Medicine Physician · Reisterstown, MD
Provider details
- NPI number
- 1609950146
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patricia Nwaogbo, Office Manager(410) 833-5000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
11722 Reisterstown Rd
Reisterstown, MD 21136-3302
Phone: (410) 833-5000
Fax: (410) 833-1433
Street-level locationGet directions
Mailing address
11722 Reisterstown Rd
Reisterstown, MD 21136-3302
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2014-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.