Healthcare Provider Details

I. General information

NPI: 1528324274
Provider Name (Legal Business Name): FAMILY MEDICAL CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 INGLESIDE AVE
CATONSVILLE MD
21228-1317
US

IV. Provider business mailing address

1000 INGLESIDE AVE
CATONSVILLE MD
21228-1317
US

V. Phone/Fax

Practice location:
  • Phone: 443-551-3784
  • Fax: 443-551-3801
Mailing address:
  • Phone: 443-551-3784
  • Fax: 443-551-3801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. PAULA UWAYEMEN OHIKU
Title or Position: CEO
Credential: DNP CRNP PMHNP
Phone: 443-551-3784