CHESAPEAKE WELLNESS CENTER (NPI# 1760093009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760093009 |
| Entity Type | Organization |
| Organization Name | CHESAPEAKE WELLNESS CENTER |
| Practice Address |
251 S Bohemia Ave Cecilton MD 21913-1010 |
| Mailing Address |
Po Box 669 Cecilton MD 21913-0669 |
| Practice Telephone | 4102758156 |
| Mailing Telephone | 4102758156 |
| Mailing Fax Number | 8774336830 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | JANE E HYSKELL (BILLING AGENT) |
| Authorized Official Telephone | 8149388263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 205409400 | 05 | |
| MD | 627009300 | 05 | |
| MD | 456312300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678174 | Chesapeake Wellness Center | Family Medicine | 818 High St Ste 2, Chestertown, MD 21620-1152 | 2019-06-19 |
| 1043758493 | Chesapeake Wellness Center | Family Medicine | 105 E Main St, Elkton, MD 21921-5906 | 2017-02-06 |
| 1083163307 | Chesapeake Wellness Center | Psychologist | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2016-09-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Chesapeake Wellness Center LLC | 236 Carmichael Way, Chesapeake, Virginia 23322 |
| Street Address |
251 S BOHEMIA AVE |
| City | CECILTON |
| State | MD |
| Zip Code | 21913-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568410603 | Wallace Obenshain | Family Medicine | 251 S Bohemia Ave, Cecilton, MD 21913-0670 | 2006-05-04 |
| 1083165880 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2016-10-18 |
| 1144771908 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2016-10-17 |
| 1952852717 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2016-10-17 |
| 1083163307 | Chesapeake Wellness Center | Psychologist | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2016-09-28 |
| 1689123291 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 251 S Bohemia Ave, Cecilton, MD 21913-1010 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972717833 | Eric Allen Vanvenrooy | Dentist | 251 S. Bohemia Avenue, Cecilton, MD 21913 | 2007-05-10 |
| 1427072503 | Paul Katz, D.o. | Family Medicine | 251 Bohemia Avenue, Cecilton, MD 21913 | 2006-07-26 |
| 1134261217 | Wallace Bruce Obenshain Cecilton Family Practice | Family Medicine | 251 Bohemia Ave, Cecilton, MD 21913 | 2007-02-13 |
| 1629047154 | Paul M Katz | Family Medicine | 251 Bohemia Ave, Cecilton, MD 21913-0000 | 2006-03-16 |
| 1265532048 | Physiotherapy Associates - Union Rehab LLC | Clinic/Center | 251 South Bohemia Ave, Cecilton, MD 21913-0335 | 2006-09-22 |
| 1861616179 | Davis Taylor Short | Social Worker | 143 N Bohemia Ave., Cecilton, MD 21913-0488 | 2007-04-11 |
| 1457427296 | Joseph David Cohn Jr. | Dentist | 121 South Bohemia Avenue, Cecilton, MD 21913-0489 | 2006-11-24 |
| 1992784524 | Cecilton Volunteer Fire Co Inc | Ambulance | 110 E Main St, Cecilton, MD 21913-1001 | 2006-01-12 |
| 1598251753 | West Cecil Health Center Inc. | Clinic/Center | 233 S Bohemia Ave, Cecilton, MD 21913-1010 | 2018-07-10 |
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588293138 | Bmoreyouthful LLC | Family Medicine | 517 Dusk View Dr, Havre De Grace, MD 21078-2369 | 2020-04-06 |
| 1497256820 | Change Treatment LLC | Family Medicine | 2926 E Cold Spring Ln Ste 3, Baltimore, MD 21214-2800 | 2018-02-21 |
| 1992226310 | Ideal Option, Pllc | Family Medicine | 265 Mill St Ste 100, Hagerstown, MD 21740-6170 | 2017-07-06 |
| 1306395819 | Ciganek LLC | Family Medicine | 633 Railroad Ave, Centreville, MD 21617-1144 | 2016-09-26 |
| 1629114657 | Laurie J. Poss, M.d. P.a. | Family Medicine | 133 Defense Highway, Suite 211, Annapolis, MD 21401-7378 | 2007-01-29 |
| 1619054046 | Paulette Camille Hill | Family Medicine | 707 S President St Apt 1335, Baltimore, MD 21202-4497 | 2006-11-01 |
| 1891872669 | Akintoye Adelakun | Family Medicine | 3311 Toledo Terrace, Suite A3, Blessing Medical Center, Hyattsville, MD 20785 | 2006-11-01 |
| 1417982208 | Robert Scott Goodwin | Family Medicine | 251 Bayview Blvd, Room 05a727, Baltimore, MD 21224-6823 | 2006-07-11 |
| 1447225719 | Natale Joseph Gagliardi | Family Medicine | 2528 Mountain Rd, #204, Pasadena, MD 21122-2300 | 2006-02-21 |
| 1730787847 | Envision Health and Wellness | Family Medicine | 2 W Rolling Xrds Ste 111, Catonsville, MD 21228-6211 | 2020-10-12 |
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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.