TOTAL WELLNESS MEDICAL CENTER LLC (NPI# 1740732262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740732262 |
| Entity Type | Organization |
| Organization Name | TOTAL WELLNESS MEDICAL CENTER LLC |
| Practice Address |
4000 Mitcheville Road B322 Bowie MD 20716-0000 |
| Practice Telephone | 3018080341 |
| Practice Fax Number | 3012636860 |
| Mailing Telephone | 3018080341 |
| Mailing Fax Number | 3012636860 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2017-03-10 |
| Authorized Official Name | MIRIAM D MARTIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3018080341 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | D0040898 | MD | Emergency Medical Service Providers |
| Street Address |
4000 MITCHEVILLE ROAD B322 |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265682157 | Morgan Cheryl D Hudson Group | Emergency Medical Technician, Basic | 1809 Peachtree Ln, Bowie, MD 20721-3069 | 2008-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785472 | Spencer Sallee | Emergency Medical Technician, Basic | 6709 Annan Dr, Bethesda, MD 20816-1021 | 2020-06-16 |
| 1255952834 | Julie White | Emergency Medical Technician, Basic | 29453 Golton Dr, Easton, MD 21601-7103 | 2020-05-05 |
| 1831710805 | Mark Edward Driscoll | Emergency Medical Technician, Basic | 212 Quail Run Dr, Centreville, MD 21617-2301 | 2020-05-01 |
| 1629637152 | Collin Michael Papenfuss | Emergency Medical Technician, Basic | 5200 Southwestern Blvd, Baltimore, MD 21227-2820 | 2019-06-09 |
| 1336533298 | Rebekah Everett | Emergency Medical Technician, Basic | 11837 Tower Hamlets Pl, Waldorf, MD 20602-6122 | 2015-03-27 |
| 1154723419 | Sarah Koehn | Emergency Medical Technician, Basic | 20916 Old York Rd, Parkton, MD 21120-9135 | 2014-09-18 |
| 1356611271 | Yayoh Kamara | Emergency Medical Technician, Basic | 9923 Good Luck Rd Apt 204, Lanham, MD 20706-3247 | 2012-01-10 |
| 1225329345 | Nicole Williams | Emergency Medical Technician, Basic | 10400 Stevenson Rd Ste 102, Stevenson, MD 21153-0600 | 2011-04-23 |
| 1821265505 | Jeremey Leonard Weiss | Emergency Medical Technician, Basic | 555 Belmawr Pl, Millersville, MD 21108-1561 | 2008-05-13 |
| 1831376102 | George L. Pearman II | Emergency Medical Technician, Basic | 800 W Baltimore St, 6th Fl, Baltimore, MD 21201-1138 | 2008-01-29 |
| Find all providers with the same taxonomy | ||||
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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.