WYE OAK HEALTHCARE WELLNESS LLC (NPI# 1497269336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497269336 |
| Entity Type | Organization |
| Organization Name | WYE OAK HEALTHCARE WELLNESS LLC |
| Other Organization Name | CADIA WELLNESS MARYLAND |
| Practice Address |
4922 Lasalle Rd Hyattsville MD 20782-3302 |
| Mailing Address |
4922b Lasalle Rd Hyattsville MD 20782-3302 |
| Practice Telephone | 3018642333 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2019-02-01 |
| Authorized Official Name | MR. MARK ANTHONY YOST JR. (CEO) |
| Authorized Official Telephone | 3018642333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CADIA WELLNESS MARYLAND | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1225 Walker Rd, Dover, DE 199046541 | 3027341199 | |
| 12325 New Hampshire Ave, Silver Spring, MD 209042957 | 3016224600 | |
| 14014 Marsh Pike, Hagerstown, MD 217421638 | 3017338700 | |
| 26002 John J Williams Hwy, Millsboro, DE 199664948 | 3029474200 | |
| 3322 Silverside Rd, Wilmington, DE 198103307 | 3024788889 | |
| 3540 Three Little Bakers Blvd, Wilmington, DE 198081754 | 3024550808 | |
| 4011 Randolph Rd, Silver Spring, MD 209021054 | 3019332500 | |
| 4922b Lasalle Rd, Hyattsville, MD 207823302 | 3018642333 | |
| 500 S Broad St, Middletown, DE 197091443 | 3024493400 | |
| 900 Van Buren St, Annapolis, MD 214032124 | 3019332500 |
| Street Address |
4922 LASALLE RD |
| City | HYATTSVILLE |
| State | MD |
| Zip Code | 20782-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035058 | Heritage Care Inc | Skilled Nursing Facility | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2005-07-07 |
| 1821608175 | Chauntelle Gisele Jack-roberts | Dietitian, Registered | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2020-08-02 |
| 1841757895 | Amruta Pradeep Thatte | Physical Therapist | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2019-02-26 |
| 1336656487 | Physician's Mobile X-ray, Inc | Radiology | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2018-01-10 |
| 1831606011 | Physician's Mobile X-ray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2018-01-09 |
| 1851815534 | Wye Oak Healthcare of Hyattsville, LLC | Occupational Therapist | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2017-08-03 |
| 1932623725 | Santosh Ramesh Babu Sintre | Occupational Therapist | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2017-08-02 |
| 1487175998 | Wye Oak Healthcare of Hyattsville, LLC | Skilled Nursing Facility | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2017-07-06 |
| 1942739966 | Geraldine Anne Pasigan Soliven | Physical Therapist | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2017-06-05 |
| 1629503826 | Marwin Pascua | Physical Therapist | 4922 Lasalle Rd, Hyattsville, MD 20782-3302 | 2017-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712254 | Covenant Cosmetic & Wellness Center | Clinic/Center | 3415 Hamilton Street, Suite 5, Hyattsville, MD 20782 | 2020-08-26 |
| 1174146807 | Scort Achah | Home Health Aide | 2572 Queens Chapel Road, #4, Hyattsville, MD 20782 | 2020-05-28 |
| 1679130215 | Kla Vision, P.C. | Optometrist | 3500 East-west Highway, Hyattsville, MD 20782 | 2019-05-20 |
| 1417431677 | Visurraga Enterprises LLC | Nurse Anesthetist, Certified Registered | 4112 E West Hwy, Hyattsville, MD 20782 | 2018-09-24 |
| 1134605876 | Melinda Merricks | Behavioral Analyst | 5901 31st Ave, Apt. 203, Hyattsville, MD 20782 | 2018-07-16 |
| 1457849093 | Prince George's County Health Department | Clinic/Center | 7000 Adelphi Road, Hyattsville, MD 20782 | 2018-04-30 |
| 1922527134 | Amenan Marie Paule Yao | Home Health Aide | 7009 Highview Ter Apt 202, Hyattsville, MD 20782 | 2017-09-19 |
| 1558886358 | Emilia Domingez De Urena | Home Health Aide | 6700 Belcrest Road, Hyattsville, MD 20782 | 2017-08-14 |
| 1184176851 | Prince George's Hospital Center | Student in an Organized Health Care Education/Training Program | 3500 Dean Drive, Apt K3, Hyattsville, MD 20782 | 2016-10-28 |
| 1992257927 | Johanna Arias-bonilla | Social Worker | 2970 Belcrest Center Drive Unit 301, Hyattsville, MD 20782 | 2016-10-25 |
| Find all providers in zip 20782 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083147516 | Deribe Setie Aragaw | Internal Medicine | 2113 Ruatan St, Hyattsville, MD 20783-2122 | 2017-04-11 |
| 1013145887 | Fisseha Yitbarek Ghidey | Internal Medicine | 4509 Garfield St, Hyattsville, MD 20781 | 2009-06-30 |
| 1881743292 | Charles Frederick Dillon | Internal Medicine | 3311 Toledo Rd, Room 4217, Hyattsville, MD 20782-2064 | 2007-01-09 |
| 1053365221 | Ulnacs Medical Care, PC | Internal Medicine | 3331 Toledo Ter Ste 108, Hyattsville, MD 20782-8156 | 2006-05-20 |
| 1396704557 | Luke E Terry Jr. | Internal Medicine | 8700 Central Ave Ste 204, Hyattsville, MD 20785-4868 | 2006-03-17 |
| 1871092551 | Ernest Moy | Internal Medicine | 3311 Toledo Rd, Hyattsville, MD 20782-2064 | 2018-02-07 |
| 1467866285 | Thomas Stallard | Internal Medicine | 6525 Belcrest Rd, Hyattsville, MD 20782-2003 | 2014-06-19 |
| 1609213677 | Dr. Ashwini K Sardana, Md, LLC | Internal Medicine | 6505 Belcrest Rd, Ste 110, Hyattsville, MD 20782-2011 | 2013-05-30 |
| 1205157500 | Michael Vincent Viola | Internal Medicine | 6525 Belcrest Rd, Hyattsville, MD 20782-2003 | 2010-06-21 |
| 1255572442 | Tk Consulting Services, LLC | Internal Medicine | 7100 Chesapeake Rd, 201, Hyattsville, MD 20784-2349 | 2009-03-17 |
| Find all providers in HYATTSVILLE | ||||
| City | HYATTSVILLE |
| Zip Code | 20782 |
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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.