PREMISE HEALTH OF MARYLAND MEDICAL P C (NPI# 1497274013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497274013 |
| Entity Type | Organization |
| Organization Name | PREMISE HEALTH OF MARYLAND MEDICAL P C |
| Other Organization Name | THE WELLNESS CENTER OPERATED BY PREMISE HEALTH |
| Practice Address |
103 Chesapeake Park Plz Middle River MD 21220-4201 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 4106821609 |
| Practice Fax Number | 4106821458 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | DR. JAMES M THIEL (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Maryland Occupational Medical P C | Former Legal Business Name - Organization |
| The Wellness Center Operated by Premise Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356881387 | Premise Health of Maryland Medical P C | Clinic/Center | 8403 Colesville Rd Fl 15, Silver Spring, MD 20910-6331 | 2017-02-23 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1003335621 | Premise Health of Maryland Medical P C | Clinic/Center | 6801 Rockledge Dr, Bethesda, MD 20817-1803 | 2017-09-14 |
| 1649543513 | Premise Health of Maryland Medical P C | Clinic/Center | 1 Medimmune Way, Gaithersburg, MD 20878 | 2012-02-22 |
| Street Address |
103 CHESAPEAKE PARK PLZ |
| City | MIDDLE RIVER |
| State | MD |
| Zip Code | 21220-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073027108 | Lockheed Martin Corporation | Clinic/Center | 103 Chesapeake Park Plz, Middle River, MD 21220-4201 | 2017-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881164119 | Sian Crosby | Speech-Language Pathologist | Glenmar Elementrary School, 9700 Community Drive, Middle River, MD 21220 | 2018-11-29 |
| 1336545029 | Andrea Tuck | Counselor | 24 Granny Smith Ct, Baltimore, MD 21220 | 2014-11-07 |
| 1356762959 | Johns Hopkins Hospital | General Acute Care Hospital | 11550 Crossroad Circle, Unit 606, Middle River, MD 21220 | 2013-12-27 |
| 1770693392 | Costco Wholesale Corporation | Pharmacy | 9919 Pulaski Hwy, Baltimore, MD 21220 | 2006-08-30 |
| 1255393344 | James Wallace Carpenter | Physician Assistant | 10 North Green St, Va Med Center Ward 6b, Baltimore, MD 21220 | 2006-04-04 |
| 1386624427 | Allen F Clowers | Family Medicine | 107 Beacon Road, Baltimore, MD 21220 | 2006-01-17 |
| 1306229794 | Dorcas Lwanga | Dietitian, Registered | 201 Ballard Ave, Middle River, MD 21220 | 2015-07-02 |
| 1437550761 | Eastern Avenue Dental, LLC | Dentist | 12412 Eastern Ave, Baltimore, MD 21220 | 2014-09-05 |
| 1366857617 | Suprina Kaur | Dentist | 12412 Eastern Ave, Middle River, MD 21220 | 2014-06-25 |
| 1316905227 | Chienyenwa E. Nwachinemere | Internal Medicine | 201 Ballard Ave, Middle River, MD 21220 | 2006-05-02 |
| Find all providers in zip 21220 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385276 | Trumedis Healthcare Services LLC | Clinic/Center | 6120 Baltimore National Pike Ste 204, Catonsville, MD 21228-2930 | 2020-10-26 |
| 1417556077 | Maryland Treatment Centers Inc | Clinic/Center | 7281 Marcies Choice Ln Fl 2, Frederick, MD 21704-8329 | 2020-10-23 |
| 1801494810 | Hd Telecommunications LLC | Clinic/Center | 1280 Wesel Blvd Ste C, Hagerstown, MD 21740-5378 | 2020-10-12 |
| 1679180327 | People Inspiring People | Clinic/Center | 3407 Tewkesbury Rd, Abingdon, MD 21009-1095 | 2020-09-28 |
| 1417563883 | Healthy Generations Comprehensive Care LLC | Clinic/Center | 7850 Rossville Blvd Ste 210, Nottingham, MD 21236-3934 | 2020-09-21 |
| 1093328148 | Cerner Health Connections, Inc | Clinic/Center | 15045 Burnt Store Rd, Hughesville, MD 20637-2699 | 2020-08-28 |
| 1750991121 | Global Center for Autism Services, LLC | Clinic/Center | 4485 Forbes Blvd, Lanham, MD 20706-4354 | 2020-07-31 |
| 1497384945 | Unique Minds Behavioral Health Services, LLC | Clinic/Center | 8101 Sandy Spring Rd Ste 300-e6, Laurel, MD 20707-3596 | 2020-04-06 |
| 1215565957 | Red Canyon, LLC | Clinic/Center | 7402 York Rd Ste 104, Towson, MD 21204-7519 | 2020-03-30 |
| 1215560396 | Bridge To Holistic Healing, LLC | Clinic/Center | 223 N Prospect St Ste 306, Hagerstown, MD 21740-3783 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLE RIVER |
| Zip Code | 21220 |
Please comment or provide details below to improve the information on PREMISE HEALTH OF MARYLAND MEDICAL P C.
| 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.