MD MEDICAL AND WELLNESS CENTER (NPI# 1376180596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376180596 |
| Entity Type | Organization |
| Organization Name | MD MEDICAL AND WELLNESS CENTER |
| Practice Address |
4000 Mitchellville Rd Ste A308 Bowie MD 20716-3135 |
| Practice Telephone | 3018080341 |
| Practice Fax Number | 3012636860 |
| Mailing Telephone | 3018080341 |
| Mailing Fax Number | 3012636860 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | DR. MIRIAM D. MARTIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3018080341 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
4000 MITCHELLVILLE RD STE A308 |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916437 | Kimberly Alicia Smith | Family Medicine | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577808 | Grace Health Services, LLC | Clinic/Center | 406 E Tarrant St, Bowie, TX 76230-5113 | 2020-08-03 |
| 1558853762 | Assurance Mobile Health Solutions | Clinic/Center | 4305 Quanders Promise Dr, Bowie, MD 20720-4694 | 2018-06-04 |
| 1649799982 | Mai Health | Clinic/Center | 14553 London Ln, Bowie, MD 20715-2579 | 2017-09-19 |
| 1447792643 | Zybs Medical Group | Clinic/Center | 6805 Irene Ct, Bowie, MD 20720-3301 | 2016-11-06 |
| 1700104643 | Alpha Global Solutions LLC | Clinic/Center | 2277 Prince of Wales Ct, Bowie, MD 20716-1475 | 2010-05-16 |
| 1881249944 | Z Cares Health LLC | Clinic/Center | 3233 Superior Ln Ste B4, Bowie, MD 20715-1940 | 2019-08-06 |
| 1235616475 | Health Releaf LLC | Clinic/Center | 4000 Mitchellville Rd Ste B322, Bowie, MD 20716-3176 | 2018-07-20 |
| 1417492141 | Lifetouch Clinical Consultants,llc | Clinic/Center | 4512 Doctor Beans Legacy Cir, Bowie, MD 20720-6384 | 2017-01-04 |
| 1033493838 | A. Plus Health Care Inc | Clinic/Center | 11001 Elon Dr, Bowie, MD 20720-3508 | 2011-09-29 |
| 1457652091 | Alpha Global Medical Services | Clinic/Center | 4000 Mitchellville Rd, Suite A406, Bowie, MD 20716-3104 | 2010-11-13 |
| Find all providers in BOWIE | ||||
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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.