MD WELLNESS AND HEALTH CENTER (NPI# 1154726123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154726123 |
| Entity Type | Organization |
| Organization Name | MD WELLNESS AND HEALTH CENTER |
| Practice Address |
10518 Spotsylvania Ave Suite 102 Fredericksburg VA 22408 |
| Practice Telephone | 5406456400 |
| Practice Fax Number | 8884274279 |
| Mailing Telephone | 5406456400 |
| Mailing Fax Number | 8884274279 |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | DR. MAKINI SHANI GARRETT AINSWORTH (CEO, INTERNAL MEDICINE PHYSICIAN) |
| Authorized Official Telephone | 5406456400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
0101238953 | VA | Ambulatory Health Care Facilities |
| Street Address |
10518 SPOTSYLVANIA AVE, SUITE 102 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| 1730453192 | Physical Therapy of Central Virginia, LLC | Physical Therapist | 10524 Spotsylvania Avenue, Building 2, Fredericksburg, VA 22408 | 2012-03-02 |
| Find all providers in zip 22408 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1205434370 | Blue Mountain Regenerative Medicine Pllc | Clinic/Center | 124 E Main St., Fredericksburg, PA 17026-0152 | 2020-10-12 |
| 1528095809 | Diabetes & Thyroid Associates | Clinic/Center | 10711 Spotsylvania Ave, Fredericksburg, VA 22408-2674 | 2006-06-26 |
| 1538506886 | Commonwealth Spine & Rehab Centers, LLC | Clinic/Center | 4710 Spotsylvania Pkwy, Suite 201, Fredericksburg, VA 22407-9433 | 2013-05-28 |
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| 1164056941 | Virginia Commonwealth University Health System Authority | Clinic/Center | 2495 Pocahontas Trl, Quinton, VA 23141-1637 | 2020-03-02 |
| 1306308382 | Jae Kim, Md Plc | Clinic/Center | 10721 Main St Ste 205, Fairfax, VA 22030-6902 | 2019-04-01 |
| 1861989105 | Lgn Weight Loss, LLC | Clinic/Center | 1114 E Main St Ste 6, Lebanon, VA 24266-5014 | 2018-04-20 |
| 1346746484 | Flex Massage Therapy, Inc | Clinic/Center | 700 Baker Rd Ste 115, Virginia Beach, VA 23462-1034 | 2018-04-05 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1033579636 | Mt. State Ent & Facial Plastic Surgery, Inc. | Clinic/Center | 2 Westwood Professional Park, Bluefield, VA 24605 | 2016-02-25 |
| 1346615390 | Caring Center Pllc | Clinic/Center | 19465 Deerfield Ave Ste 410, Leesburg, VA 20176-1708 | 2015-12-02 |
| 1093148314 | Ready Set Sleep Nurse LLC | Clinic/Center | 901 E Timber Branch Pkwy, Alexandria, VA 22302-3231 | 2013-08-11 |
| 1487944070 | Prince William Chiropractic Clinic | Clinic/Center | 2026 Opitz Blvd Ste B, Woodbridge, VA 22191-3332 | 2011-04-15 |
| 1356677306 | Hwang H. Junn Md Im/geri Plc | Clinic/Center | 4216 Evergreen Lane, Suite 111, Annandale, VA 22003-3253 | 2009-10-27 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
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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.