HOLISTIC HEALTH & WELLNESS MEDICAL SPA (NPI# 1497287361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497287361 |
| Entity Type | Organization |
| Organization Name | HOLISTIC HEALTH & WELLNESS MEDICAL SPA |
| Practice Address |
1450 Mercantile Ln 221 Largo MD 20774-5376 |
| Practice Telephone | 3017721500 |
| Practice Fax Number | 3017730050 |
| Mailing Telephone | 3017721500 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | MS. JOYCE SHAWANDA EDWARDS (OWNER) |
| Authorized Official Telephone | 3017721500 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1450 MERCANTILE LN 221 |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720070261 | David A Gooray | Internal Medicine | 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 | 2005-08-19 |
| 1831640465 | Anne Arundel Physician Group LLC | Dietitian, Registered | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2016-10-19 |
| 1427505825 | Holistic Health and Wellness Medical Spa | Nurse Practitioner | 1450 Mercantile Ln, Suite 221, Largo, MD 20774-5376 | 2016-09-02 |
| 1972903201 | Heritage Pediatrics, Inc. | Pediatrics | 1450 Mercantile Ln, Suite #217, Largo, MD 20774-5376 | 2014-08-22 |
| 1316372931 | Anne Arundel Physician Group, LLC | Internal Medicine | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2013-09-13 |
| 1679821458 | Meetu Agrawal | Internal Medicine | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2012-08-27 |
| 1316232135 | Jatin R Matta | Physician Assistant | 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 | 2011-06-09 |
| 1750696779 | Susan E Jenkins, M.d.p.a. | Obstetrics & Gynecology | 1450 Mercantile Ln, Suite 117, Largo, MD 20774-5376 | 2010-08-13 |
| 1922249200 | Lisa V. Thompson, Dds, LLC | Clinic/Center | 1450 Mercantile Ln, Suite 207a, Largo, MD 20774-5376 | 2009-03-16 |
| 1992998975 | East Coast Gastroenterology LLC | Pathology | 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578087334 | Advanced Pain Management Specialists, LLC | Pain Medicine | 1576 Merritt Blvd Ste 18, Dundalk, MD 21222-2132 | 2017-08-02 |
| 1407379753 | Advanced Pain Management Specialists, LLC | Pain Medicine | 2960 Technology Pl Ste 103, Waldorf, MD 20601-4968 | 2017-07-19 |
| 1073035713 | Advanced Pain Management Specialists, LLC | Pain Medicine | 7671 Quarterfield Rd Ste 301, Glen Burnie, MD 21061-4525 | 2017-07-14 |
| 1811427099 | Janet L. Ascione | Pain Medicine | 166 Defense Hwy Ste 300, Annapolis, MD 21401-8926 | 2017-06-19 |
| 1730383894 | Paris Chiropractic, PC | Pain Medicine | 46 W Gude Dr Ste B, Suite B, Rockville, MD 20850-4358 | 2007-06-13 |
| 1023044336 | Capital Pain Management Associates, LLC | Pain Medicine | 7501 Greenway Center Dr Ste 440, Greenbelt, MD 20770-3506 | 2006-06-26 |
| 1477595916 | Jeanne Betz Smoot | Pain Medicine | 915 Toll House Ave Ste 103, Frederick, MD 21701-5911 | 2006-06-11 |
| 1891392775 | Potomac Center for Chronic Pain Management and Wellness, LLC | Pain Medicine | 9658 Marlboro Pike, Upper Marlboro, MD 20772-3767 | 2020-10-05 |
| 1295369262 | Pain and Spine Specialists of Maryland, LLC | Pain Medicine | 2702 Back Acre Cir Ste 290b, Mount Airy, MD 21771-7769 | 2020-02-27 |
| 1245897529 | Chesapeake Pain & Wellness | Pain Medicine | 12200 Annapolis Rd Ste 225, Glenn Dale, MD 20769-9182 | 2019-05-22 |
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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.