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General NPI Number Information
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NPI Number | 1457142168
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Entity Type | Organization
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Legal Business Name | ASPIRE MULTISPECIALTY URGENT CARE LLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 8500 ANNAPOLIS RD STE 100
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City | NEW CARROLLTON
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State | MD
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Zip | 20784-3021
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Country | US
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Telephone | 240-828-5991
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Fax | 240-667-2453
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Provider Business Mailing Address
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Address Line | 8500 ANNAPOLIS RD STE 100
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City | NEW CARROLLTON
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State | MD
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Zip | 20784-3021
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Country | US
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Telephone | 240-828-5991
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Fax | 240-667-2453
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Authorized Official
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Title or Position | OWNER
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Name | MR. BENEDICT IJOMAH
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Credential | LCSW-C
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Telephone | 301-821-1671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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