Healthcare Provider Details

I. General information

NPI: 1407685324
Provider Name (Legal Business Name): UMG URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10715 LITTLE PATUXENT PKWY
COLUMBIA MD
21044-3123
US

IV. Provider business mailing address

10715 LITTLE PATUXENT PKWY
COLUMBIA MD
21044-3123
US

V. Phone/Fax

Practice location:
  • Phone: 443-917-6647
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE ARSENEAULT
Title or Position: OWNER
Credential: NP
Phone: 443-917-6647