INTEGRATED WELLNESS MD, LLC (NPI# 1083074702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083074702 |
| Entity Type | Organization |
| Organization Name | INTEGRATED WELLNESS MD, LLC |
| Practice Address |
6410 Rockledge Dr Ste 510 Bethesda MD 20817-1809 |
| Mailing Address |
9755 Patuxent Woods Dr Ste 100 Columbia MD 21046-2286 |
| Practice Telephone | 8007626282 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | CARL DOUGLAS LORD (OWNER) |
| Authorized Official Telephone | 8007626282 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11568 Old Georgetown Rd, North Bethesda, MD 20852 | 8007626282 | |
| 6410 Rockledge Dr Ste 510, Bethesda, MD 208171809 | 8007626282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720448442 | Integrated Wellness Md, LLC | Family Medicine | 8316 Arlington Blvd Ste 206, Fairfax, VA 22031-5216 | 2016-02-24 |
| 1386004000 | Integrated Wellness Md, LLC | Family Medicine | 8880 Mcgaw Rd, Ste B, Columbia, MD 21045 | 2016-02-24 |
| Street Address |
6410 ROCKLEDGE DR STE 510 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083008973 | Rachael Fuller Cleberg | Obstetrics & Gynecology | 10215 Fernwood Rd Ste 250, Bethesda, MD 20817-1177 | 2015-03-27 |
| 1477819175 | Anna Buabbud | Obstetrics & Gynecology | 4920 Elm St # 225, Medical Faculty Associates Inc, Bethesda, MD 20814-2924 | 2012-04-06 |
| 1265702179 | Dara Shahriar Afshar | Obstetrics & Gynecology | 7115 Arrowood Rd, Bethesda, MD 20817-2808 | 2012-01-09 |
| 1912232372 | Howard Raymond Underwood | Obstetrics & Gynecology | 4502 Highland Ave, Bethesda, MD 20814-4608 | 2009-10-02 |
| 1184866980 | Jacqueline Miller Braden | Obstetrics & Gynecology | 8930 Brown Dr Bldg 92nd, Bethesda, MD 20889-5629 | 2009-03-25 |
| 1780824599 | Joshua Charles Combs | Obstetrics & Gynecology | 4494 North Palmer Road, Bethesda, MD 20889-0001 | 2009-03-06 |
| 1821250903 | Amanda Elizabeth Owens | Obstetrics & Gynecology | 8930 Brown Dr., Dept Obgyn, Bldg 9, Bethesda, MD 20889 | 2008-06-30 |
| 1316099823 | Melissa A. Merideth | Obstetrics & Gynecology | Nih, 10 Center Drive, Bdg 10, 10c103, Msc 1851, Bethesda, MD 20892-0001 | 2007-01-17 |
| 1851440721 | Pamela Stratton | Obstetrics & Gynecology | 1e-3140 Crc, 10 Center Dr. Msc 1109, Bethesda, MD 20892-0001 | 2007-01-09 |
| 1639250004 | Michael Wittenberger | Obstetrics & Gynecology | 10 Center Dr Msc 1109, Building 10, Crc, 1 East, Rm. 1-3140, Bethesda, MD 20892-0001 | 2006-10-18 |
| Find all providers in BETHESDA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.