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Medical Legacy LLC

Primary Care Clinic/Center in Randallstown, MD · enumerated 2008 · authorized official Olutoyin Okunoren, Practice Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114189453

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Registry record

Entity type Organization (Type 2)
Legal business name Medical Legacy LLC
Practice address 5310 Old Court Rd, Suite 305, Randallstown, MD, 21133
Fax (410) 655-7917
Enumeration date Jun 27, 2008
Last updated in NPPES Jun 27, 2008

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License D0023724 (MD) Primary

Authorized official

Name Olutoyin Okunoren
Title Practice Coordinator

Other identifiers

Identifier Type State Issuer
255951000 Medicaid MD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Medical Legacy LLC?
NPPES lists Olutoyin Okunoren (Practice Coordinator) as the authorized official for this organization.
What is the NPI number for Medical Legacy LLC?
The NPI for Medical Legacy LLC is 1114189453, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-27.