Healthcare Provider Details

I. General information

NPI: 1457142168
Provider Name (Legal Business Name): ASPIRE MULTISPECIALTY URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 ANNAPOLIS RD STE 100
NEW CARROLLTON MD
20784-3021
US

IV. Provider business mailing address

8500 ANNAPOLIS RD STE 100
NEW CARROLLTON MD
20784-3021
US

V. Phone/Fax

Practice location:
  • Phone: 240-828-5991
  • Fax: 240-667-2453
Mailing address:
  • Phone: 240-828-5991
  • Fax: 240-667-2453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. BENEDICT IJOMAH
Title or Position: OWNER
Credential: LCSW-C
Phone: 301-821-1671