HEALING VESSEL MEDICAL ASSOCIATES LLC (NPI# 1770085029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770085029 |
| Entity Type | Organization |
| Organization Name | HEALING VESSEL MEDICAL ASSOCIATES LLC |
| Practice Address |
14903 Dennington Dr Bowie MD 20721-3277 |
| Practice Telephone | 3013353941 |
| Mailing Telephone | 3013353941 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | EVELYN OMOREGBEE (MANAGING DIRECTOR) |
| Authorized Official Telephone | 3013353941 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
14903 DENNINGTON DR |
| City | BOWIE |
| State | MD |
| Zip Code | 20721-3277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683768 | Lucie Bakop | Nurse Practitioner | 1217 Kingsbury Drive, Bowie, MD 20721 | 2019-05-09 |
| 1699245258 | Rita Nkilo Chofong | Home Health Aide | 1810 Sahara Lane, Bowie, MD 20721 | 2018-11-27 |
| 1215416136 | Mbah Charles | Home Health Aide | 3705 Clayton Dr, Bowie, MD 20721 | 2018-08-10 |
| 1730678061 | Isabell Home Care Assisted Living LLC | Assisted Living Facility | 11609 Candor Drive, Bowie, MD 20721 | 2018-05-02 |
| 1619486974 | Orthatech Inc | Durable Medical Equipment & Medical Supplies | 12138 Central Ave #777, Suite 961, Mitchelville, MD 20721 | 2017-09-29 |
| 1780103994 | Rosefidelis Omnicare, LLC | Registered Nurse | 3815 Alta Vista Drive, Bowie, MD 20721 | 2017-09-19 |
| 1013436070 | Adisatu Renner | Counselor | 4202 Taverngreen Lane, Bowie, MD 20721 | 2017-09-11 |
| 1730607375 | Hope Inyamah Coston | Student in an Organized Health Care Education/Training Program | 12158 Central Avenue, Mitchellville, MD 20721 | 2017-09-05 |
| 1982121463 | Awal A Aziz | Specialist/Technologist, Other | 14303 Duncannon Court, Bowie, MD 20721 | 2017-08-25 |
| 1851841555 | Emmanuel K Tanyi | Home Health Aide | 10971 Spyglass Hill, Bowie, MD 20721 | 2016-10-06 |
| Find all providers in zip 20721 | ||||
| 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 |
|---|---|---|---|---|
| 1104460773 | The Surgery Clinics LLC | Family Medicine | 14300 Gallant Fox Ln Ste 110, Bowie, MD 20715-4031 | 2019-11-06 |
| 1609436518 | Louisa Kanu | Family Medicine | 5711 Hillmeade Rd, Bowie, MD 20720-4665 | 2019-06-13 |
| 1467916437 | Kimberly Alicia Smith | Family Medicine | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-01-24 |
| 1285182774 | Patient First Maryland Medical Group Pllc | Family Medicine | 15459 Annapolis Road, Bowie, MD 20715-1847 | 2016-09-14 |
| 1861719437 | Erica Davis Patton | Family Medicine | 504 N Mason St, Bowie, TX 76230-4231 | 2010-04-22 |
| 1265551592 | Lynn V. Yarborough | Family Medicine | 2905 Mitchellville Road, Suite 106, Bowie, MD 20716-3953 | 2007-03-28 |
| 1477619898 | Max G Latham | Family Medicine | 211 Koonce Rd, Bowie, TX 76230-2354 | 2006-12-29 |
| 1417067216 | Gerard P Champaloux Md | Family Medicine | 14300 Gallant Fox Lane, Suite 110, Bowie, MD 20715-4031 | 2006-08-30 |
| 1386638021 | Ranjit S Risam | Family Medicine | 3060 Mitchellville Rd, 210, Bowie, MD 20716-1389 | 2005-09-08 |
| 1861099541 | Privia Medical Group, LLC | Family Medicine | 14300 Gallant Fox Ln Ste 222, Bowie, MD 20715-4033 | 2020-10-06 |
| 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.