ADVANCED WELLNESS SYSTEMS LLC (NPI# 1821498122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821498122 |
| Entity Type | Organization |
| Organization Name | ADVANCED WELLNESS SYSTEMS LLC |
| Other Organization Name | ADVANCED SPINE AND WELLNESS CENTER |
| Practice Address |
8186 Lark Brown Rd Ste 302 Elkridge MD 21075-6433 |
| Mailing Address |
46 W Gude Dr Suite B Rockville MD 20850-1150 |
| Practice Telephone | 2403612225 |
| Practice Fax Number | 2403610719 |
| Mailing Telephone | 2403612225 |
| Mailing Fax Number | 2403610719 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2015-03-17 |
| Authorized Official Name | DR. BRIAN RUSSELL PARIS (CEO) |
| Authorized Official Telephone | 3016467885 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
U01334 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE PART B PTAN | 380545 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Spine and Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982074415 | Advanced Wellness Systems LLC | Durable Medical Equipment & Medical Supplies | 46 W Gude Dr Ste 46b, Rockville, MD 20850-1150 | 2015-09-27 |
| 1972973857 | Advanced Wellness Systems LLC | Pain Medicine | 7411 Riggs Rd, Suite 212, Hyattsville, MD 20783-4246 | 2015-10-05 |
| Street Address |
8186 LARK BROWN RD STE 302 |
| City | ELKRIDGE |
| State | MD |
| Zip Code | 21075-6433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466084 | Renee June Mercer | Nurse Practitioner | 8186 Lark Brown Rd, Ste 202, Elkridge, MD 21075-6420 | 2005-06-13 |
| 1629509799 | First Call Occupational Health | Clinic/Center | 8186 Lark Brown Rd, Ste 103, Elkridge, MD 21075-6433 | 2017-03-21 |
| 1659820934 | Matthew T Rosewag | Physical Therapist | 8186 Lark Brown Rd, Ste 201, Elkridge, MD 21075-6434 | 2016-09-27 |
| 1639555642 | Affiliated Podiatrists Pa | Podiatrist | 8186 Lark Brown Rd, Suite 202, Elkridge, MD 21075-6433 | 2015-08-03 |
| 1558751305 | Central Maryland Anesthesia, LLC | Anesthesiology | 8186 Lark Brown Rd, Suite 104, Elkridge, MD 21075-6433 | 2015-02-02 |
| 1689911729 | Ginger V. Graham-lewis | Physical Therapist | 8186 Lark Brown Rd, Suite 302, Elkridge, MD 21075-6433 | 2013-01-09 |
| 1407108590 | Christine Berger | Counselor | 8186 Lark Brown Rd, 302, Elkridge, MD 21075-6433 | 2012-10-12 |
| 1467701540 | Taryn Cummens Ramsey | Pharmacist | 8186 Lark Brown Rd, Elkridge, MD 21075-6433 | 2012-09-05 |
| 1841556149 | Susan S. Mclaughlin, M.d., P.c | Dermatology | 8186 Lark Brown Rd, Suite 304, Elkridge, MD 21075-6433 | 2012-04-11 |
| 1639453467 | Valerie Renee Middleton | Nurse Practitioner | 8186 Lark Brown Rd, Suite 201, Elkridge, MD 21075-6433 | 2011-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174043640 | Howard County Health Department | Clinic/Center | 6925 Old Waterloo Road, Hchd Deep Run Elementary School-based Wellness Center, Elkridge, MD 21075 | 2017-06-26 |
| 1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
| 1063762417 | Mid-atlantic Allergy & Asthma | Clinic/Center | 8182 Lark Brown Road, Elkridge, MD 21075 | 2012-09-13 |
| 1447522925 | Alberta Osei Agyeman | Social Worker | 7274 Elkridge Crossing Way, Elkridge, MD 21075 | 2012-01-31 |
| 1588970552 | Mira M Patel | Pharmacist | 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 | 2010-08-27 |
| 1710298112 | Emily Jeanne Marti | Nurse Practitioner | 6095 Marshalee Drive, Elkridge, MD 21075 | 2010-06-30 |
| 1538352612 | Costco Wholesale Corp | Pharmacy | 6675 Marie Curie Dr, Elkridge, MD 21075 | 2007-08-22 |
| 1225250707 | Orthosport Physical Therapy of Md | Clinic/Center | 8174 Lark Brown Road, Suite 101, Elkridge, MD 21075 | 2007-05-03 |
| 1164643086 | Linda M. Jones-laper | Dentist | 6865 Deerpath Rd Suite 100, Elkridge, MD 21075 | 2007-05-01 |
| 1487756813 | Robert E Skillman Jr. | Dentist | 5921 Old Washington Rd, Elkridge, MD 21075 | 2006-09-05 |
| Find all providers in zip 21075 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194059212 | Beth Ann Ryan | Physician Assistant | 8186 Lark Brown Rd, Ste 201, Elkridge, MD 21075-6434 | 2009-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475803 | Kendy Karenys Lopez | Physician Assistant | 18324 Streamside Dr Apt 204, Gaithersburg, MD 20879-5228 | 2019-12-30 |
| 1528619640 | Cindy Pham | Physician Assistant | 7515 Oyster Bay Way, Gaithersburg, MD 20886-5905 | 2019-09-20 |
| 1508336637 | Victor Orlando Hernandez | Physician Assistant | 125 Potomac Psge Unit 200, Oxon Hill, MD 20745-1580 | 2018-12-02 |
| 1164905824 | Surgical Focus LLC | Physician Assistant | 5550 Friendship Blvd Ste 100, Chevy Chase, MD 20815-7294 | 2018-09-10 |
| 1912497173 | Gem Y Walker Lawson | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2018-05-14 |
| 1306341540 | Sunil Harris | Physician Assistant | 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 | 2018-03-29 |
| 1134639263 | Liz Ramirez | Physician Assistant | 1101 E 33rd St, Baltimore, MD 21218-3637 | 2017-10-03 |
| 1093231755 | Daniel Gentry | Physician Assistant | 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 | 2017-08-15 |
| 1467981431 | Lana E Grubb | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2017-06-05 |
| 1174051353 | Nam Anh Pham | Physician Assistant | 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 | 2017-05-31 |
| 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.