WELLSPRING CLINIC LLC (NPI# 1962958926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962958926 |
| Entity Type | Organization |
| Organization Name | WELLSPRING CLINIC LLC |
| Practice Address |
2012 S Tollgate Rd Suite 206 Bel Air MD 21015-5900 |
| Mailing Address |
2012 S Tollgate Rd Ste 207 Bel Air MD 21015-5902 |
| Practice Telephone | 4433719750 |
| Mailing Telephone | 4439779180 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | NKIRUKA ARENE (PHYSICIAN) |
| Authorized Official Telephone | 4433719750 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | D63924 | MD | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | D63924 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 875800000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831443787 | Wellspring Clinic LLC | Clinic/Center | 2012 S Tollgate Rd Ste 207, Bel Air, MD 21015-5902 | 2012-10-30 |
| 1154788818 | Wellspring Clinic LLC | Clinic/Center | 2012 S Tollgate Rd Ste 207, Bel Air, MD 21015-5902 | 2016-01-26 |
| Street Address |
2012 S TOLLGATE RD SUITE 206 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21015-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730179722 | Vincent Anthony Giminaro | Internal Medicine | 2012 S Tollgate Rd, Ste 111, Bel Air, MD 21015-5900 | 2005-10-21 |
| 1679075840 | Jennifer Kerstetter | Dermatology | 2012 S Tollgate Rd, Bel Air, MD 21015-5900 | 2018-03-05 |
| 1659828267 | Victoria Baeten | Nurse Practitioner | 2012 S Tollgate Rd, Suite 206, Bel Air, MD 21015-1272 | 2016-09-01 |
| 1366998957 | B Lee Md Associates | Anesthesiology | 2012 S Tollgate Rd, Suite 102, Bel Air, MD 21015-5900 | 2016-09-01 |
| 1407245749 | Growing Smiles LLC | Dentist | 2012 S Tollgate Rd, Suite 212, Bel Air, MD 21015-5900 | 2015-01-09 |
| 1164810891 | Lifebridge Community Physicians, Inc | Orthopaedic Surgery | 2012 S Tollgate Rd, Suite 109, Bel Air, MD 21015-5900 | 2015-01-05 |
| 1417354812 | Lifebridge Community Physicians, Inc | Internal Medicine | 2012 S Tollgate Rd, Suite 111, Bel Air, MD 21015-5900 | 2014-12-01 |
| 1295023497 | Czareyna Pajaron Carcellar | Nurse Practitioner | 2012 S Tollgate Rd, Bel Air, MD 21015-5900 | 2011-07-21 |
| 1801122775 | Aesthetic Family Dentistry of Bel Air | Dentist | 2012 S Tollgate Rd, Ste 108, Bel Air, MD 21015-5900 | 2009-10-27 |
| 1558694885 | Dr Douglas Wright | Orthopaedic Surgery | 2012 S Tollgate Rd, Ste 109, Bel Air, MD 21015-5901 | 2009-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
| 1770124844 | Asana Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 815 Sapling Ct, Bel Air, MD 21015 | 2019-09-30 |
| 1427601103 | Newpoints | Substance Abuse Rehabilitation Facility | 242 Ogden Court, Bel Air, MD 21015 | 2019-07-22 |
| 1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1942770524 | Erin Tromblay | Speech-Language Pathologist | 85 Patterson Mill Road, Bel Air, MD 21015 | 2018-11-27 |
| 1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
| 1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
| 1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
| 1609207083 | Vicki Lynn Goldberg | Physical Therapist | 2304 Churchville Road, Bel Air, MD 21015 | 2013-12-10 |
| Find all providers in zip 21015 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003803057 | John Everett Wilson | Physical Medicine & Rehabilitation | 4 C North Ave, Suite 425, Bel Air, MD 21014-2307 | 2005-10-04 |
| 1538559687 | Maryland Neuro Services PC | Physical Medicine & Rehabilitation | 217 E Churchville Rd, Bel Air, MD 21014-3825 | 2015-01-28 |
| 1093758419 | Robert T Tsuji | Physical Medicine & Rehabilitation | 206 S Hays St, Bel Air, MD 21014-4339 | 2006-06-14 |
| 1083651897 | Neurodiagnostic Associates of Maryland PC | Physical Medicine & Rehabilitation | 407 E Churchville Rd, Suite 102, Bel Air, MD 21014-3804 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766167 | Amit Grewal | Physical Medicine & Rehabilitation | 222 E Saratoga St Ste 813, Baltimore, MD 21202-3543 | 2020-10-06 |
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1750992350 | Katrina Marie Mamuzich | Physical Medicine & Rehabilitation | 485 Ritchie Hwy Ste 202, Severna Park, MD 21146-2918 | 2020-08-17 |
| 1427688647 | Rachel Lyn Gochnauer | Physical Medicine & Rehabilitation | 802 Champions Ct, Reisterstown, MD 21136-1751 | 2020-01-16 |
| 1659919793 | Monica Yoon | Physical Medicine & Rehabilitation | 1602 Waverly Way, Baltimore, MD 21239-2309 | 2019-12-19 |
| 1205473014 | Arthur Nwangwu Jr. | Physical Medicine & Rehabilitation | 1911 Belle Haven Dr Apt 303, Landover, MD 20785-4062 | 2019-12-01 |
| 1962043760 | Quantum Rehabilitation Medicine | Physical Medicine & Rehabilitation | 12150 Annapolis Rd Ste 211, Glenn Dale, MD 20769-9183 | 2019-10-02 |
| 1265080113 | Alyssa Semones | Physical Medicine & Rehabilitation | 4944 Wyaconda Rd, Rockville, MD 20852-2444 | 2019-09-03 |
| 1861048472 | Courtney Fields | Physical Medicine & Rehabilitation | 7617 Allendale Dr, Hyattsville, MD 20785-4106 | 2019-08-11 |
| 1700430907 | William K. Smith | Physical Medicine & Rehabilitation | 4301 Jones Bridge Rd Rm 1036, Bethesda, MD 20814-4712 | 2019-07-26 |
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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.