WECARE COMPREHENSIVE FAMILY MEDICINE, LLC (NPI# 1407013956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407013956 |
| Entity Type | Organization |
| Organization Name | WECARE COMPREHENSIVE FAMILY MEDICINE, LLC |
| Practice Address |
10632 Little Patuxent Pkwy Ste #130 Columbia MD 21044-3273 |
| Practice Telephone | 4107070847 |
| Practice Fax Number | 4107159884 |
| Mailing Telephone | 4107070847 |
| Mailing Fax Number | 4107159884 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-08-29 |
| Authorized Official Name | DR. HAMID EHSANI-SHISHVAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4107070847 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
D0065701 | MD | Ambulatory Health Care Facilities |
| Y | 207Q00000X | Family Medicine | D0065701 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICAL LICENSE | D0065701 | 01 |
| Street Address |
10632 LITTLE PATUXENT PKWY STE #130 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-3273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700869948 | Sangita Tejas Doshi | Dentist | 10632 Little Patuxent Pkwy, Suite 337, Columbia, MD 21044-3273 | 2005-11-22 |
| 1396366431 | Samantha Hutchison | Counselor | 10632 Little Patuxent Pkwy, Columbia, MD 21044-3273 | 2020-04-29 |
| 1528524428 | Ann Gi Hun Pak Yip | Counselor | 10632 Little Patuxent Pkwy, Columbia, MD 21044-3273 | 2019-02-15 |
| 1811420615 | Jayyidah Clarke | Social Worker | 10632 Little Patuxent Pkwy, Suite 327, Columbia, MD 21044-3273 | 2017-04-07 |
| 1932640760 | Aziz Obgyn | Obstetrics & Gynecology | 10632 Little Patuxent Pkwy, Suite 106, Columbia, MD 21044-3273 | 2017-03-13 |
| 1114386125 | Affinity Counseling and Family Life Services, LLC | Community/Behavioral Health | 10632 Little Patuxent Pkwy, Suite 343, Columbia, MD 21044-3273 | 2016-02-18 |
| 1548631674 | Maryland Coalition of Families for Children's Mental Health, Inc. | Voluntary or Charitable | 10632 Little Patuxent Pkwy, Suite 234, Columbia, MD 21044-3273 | 2015-10-15 |
| 1700265691 | Kimberly Vanputten-gardner | Counselor | 10632 Little Patuxent Pkwy, Suite 343, Columbia, MD 21044-3273 | 2015-05-25 |
| 1568869832 | Starr Behavioral Services Corp | Counselor | 10632 Little Patuxent Pkwy, Suite 343, Columbia, MD 21044 | 2014-12-02 |
| 1699172411 | Sangita Tejas Doshi, Dds, LLC | Dentist | 10632 Little Patuxent Pkwy, Suite 337, Columbia, MD 21044-3273 | 2014-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1457977563 | Jenny Tatiana Gonzalez Guzman | Family Medicine | Prisma Health Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-24 |
| 1942825500 | Jarvis Jamal Johnson | Family Medicine | Prisma Health Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-10 |
| 1386268183 | Nicolas Anthony Limogiannis | Family Medicine | Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-08 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1275177420 | Palmetto Primary Care Physicians | Family Medicine | 1415 Blanding St Ste 2, Columbia, SC 29201-2922 | 2019-10-31 |
| 1558919852 | Synergos Medical, LLC | Family Medicine | 1703 Oak Cliff Pl, Columbia, MO 65203-4719 | 2019-08-29 |
| 1972156982 | Maury Regional Medical Group, Inc | Family Medicine | 2478 Nashville Hwy Ste A, Columbia, TN 38401-0634 | 2019-07-18 |
| Find all providers in COLUMBIA | ||||
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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.