HEALTHY OPTION CLINIC, LLC (NPI# 1275134934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275134934 |
| Entity Type | Organization |
| Organization Name | HEALTHY OPTION CLINIC, LLC |
| Practice Address |
101 Egypt Farms Rd Owings Mills MD 21117-5043 |
| Practice Telephone | 4435381383 |
| Mailing Telephone | 4435381383 |
| Enumeration Date | 2020-11-07 |
| Last Update Date | 2020-11-07 |
| Authorized Official Name | MRS. VICTORIA AJAYI (PROVIDER) |
| Authorized Official Telephone | 4435381383 |
| Authorized Official Credential | NURSE PRACTITION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
101 EGYPT FARMS RD |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-5043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588293138 | Bmoreyouthful LLC | Family Medicine | 517 Dusk View Dr, Havre De Grace, MD 21078-2369 | 2020-04-06 |
| 1497256820 | Change Treatment LLC | Family Medicine | 2926 E Cold Spring Ln Ste 3, Baltimore, MD 21214-2800 | 2018-02-21 |
| 1992226310 | Ideal Option, Pllc | Family Medicine | 265 Mill St Ste 100, Hagerstown, MD 21740-6170 | 2017-07-06 |
| 1306395819 | Ciganek LLC | Family Medicine | 633 Railroad Ave, Centreville, MD 21617-1144 | 2016-09-26 |
| 1629114657 | Laurie J. Poss, M.d. P.a. | Family Medicine | 133 Defense Highway, Suite 211, Annapolis, MD 21401-7378 | 2007-01-29 |
| 1619054046 | Paulette Camille Hill | Family Medicine | 707 S President St Apt 1335, Baltimore, MD 21202-4497 | 2006-11-01 |
| 1891872669 | Akintoye Adelakun | Family Medicine | 3311 Toledo Terrace, Suite A3, Blessing Medical Center, Hyattsville, MD 20785 | 2006-11-01 |
| 1417982208 | Robert Scott Goodwin | Family Medicine | 251 Bayview Blvd, Room 05a727, Baltimore, MD 21224-6823 | 2006-07-11 |
| 1447225719 | Natale Joseph Gagliardi | Family Medicine | 2528 Mountain Rd, #204, Pasadena, MD 21122-2300 | 2006-02-21 |
| 1730787847 | Envision Health and Wellness | Family Medicine | 2 W Rolling Xrds Ste 111, Catonsville, MD 21228-6211 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
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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.