EELON WELLNESS AND MASSAGE (NPI# 1457728487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457728487 |
Entity Type | Organization |
Organization Name | EELON WELLNESS AND MASSAGE |
Practice Address |
6414 Bear Ct #207 Waldorf MD 20603-4301 |
Mailing Address |
3611 Branch Ave #207 Temple Hills MD 20748-1242 |
Practice Telephone | 3523140129 |
Mailing Telephone | 3523140129 |
Enumeration Date | 2015-08-25 |
Last Update Date | 2016-12-02 |
Authorized Official Name | DR. MICHELLE STEVENS (PRESIDENT) |
Authorized Official Telephone | 2402412490 |
Authorized Official Credential | RMP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | R02162 | MD | Managed Care Organizations |
Street Address |
6414 BEAR CT #207 |
City | WALDORF |
State | MD |
Zip Code | 20603-4301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821531617 | Ciara Stevens | Counselor | 6414 Bear Ct, Waldorf, MD 20603-4301 | 2016-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
Find all providers in zip 20603 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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1487120333 | Chelsea F Mitchell | Point of Service | 3231 Superior Ln Ste A21, Bowie, MD 20715-1934 | 2018-10-18 |
1932692449 | Ambient Bodyworks: Corporate Massage and Mobil Spa | Point of Service | 4718 Eiderdown Ct, Owings Mills, MD 21117-6222 | 2018-06-08 |
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1770950313 | Hsw Family Services Inc | Point of Service | 6604 Belcrest Rd Apt A, Hyattsville, MD 20782-8328 | 2015-08-31 |
1851783260 | Regional Diagnostic Imaging | Point of Service | 14717 Valiant Ter, Burtonsville, MD 20866-1917 | 2015-02-22 |
1144628934 | Zainali Orthodonics | Point of Service | 490 Prospect Blvd, Suite C, Frederick, MD 21701-6430 | 2014-12-11 |
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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.