WELLSPRING CLINIC LLC (NPI# 1831443787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831443787 |
| Entity Type | Organization |
| Organization Name | WELLSPRING CLINIC LLC |
| Practice Address |
2012 S Tollgate Rd Ste 207 Bel Air MD 21015-5902 |
| Practice Telephone | 4433719750 |
| Practice Fax Number | 4433719751 |
| Mailing Telephone | 4433719750 |
| Mailing Fax Number | 4433719751 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | NKIRUKA ARENE (DIRECTOR) |
| Authorized Official Telephone | 4433719750 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
D63924 | MD | Ambulatory Health Care Facilities |
| N | 2081P0301X |
Physical Medicine & Rehabilitation Specialization: Brain Injury Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962958926 | Wellspring Clinic LLC | Family Medicine | 2012 S Tollgate Rd, Suite 206, Bel Air, MD 21015-5900 | 2016-08-30 |
| 1154788818 | Wellspring Clinic LLC | Clinic/Center | 2012 S Tollgate Rd Ste 207, Bel Air, MD 21015-5902 | 2016-01-26 |
| Street Address |
2012 S TOLLGATE RD STE 207 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21015-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154788818 | Wellspring Clinic LLC | Clinic/Center | 2012 S Tollgate Rd Ste 207, Bel Air, MD 21015-5902 | 2016-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
| 1770124844 | Asana Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 815 Sapling Ct, Bel Air, MD 21015 | 2019-09-30 |
| 1427601103 | Newpoints | Substance Abuse Rehabilitation Facility | 242 Ogden Court, Bel Air, MD 21015 | 2019-07-22 |
| 1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1942770524 | Erin Tromblay | Speech-Language Pathologist | 85 Patterson Mill Road, Bel Air, MD 21015 | 2018-11-27 |
| 1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
| 1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
| 1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
| 1609207083 | Vicki Lynn Goldberg | Physical Therapist | 2304 Churchville Road, Bel Air, MD 21015 | 2013-12-10 |
| Find all providers in zip 21015 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053666107 | Sudarshan Paudel | Internal Medicine | 520 Upper Chesapeake Dr Ste 201, Bel Air, MD 21014 | 2012-07-16 |
| 1912150541 | Andrew Nowakowski, M.d., P.a. | Internal Medicine | 35 Fulford Ave, Suite #203, Bel Air, MD 21014-3938 | 2008-10-28 |
| 1790932630 | Mark Vikas Mishra | Internal Medicine | 500 Upper Chesapeake Drive Radiation Oncology, Upper Chesapeake Medical Center, Bel Air, MD 21014-4324 | 2008-08-21 |
| 1730356718 | Carol L. Bowman, M.d., LLC | Internal Medicine | 1318 E Churchville Road, Bel Air, MD 21014-4707 | 2008-05-09 |
| 1962620658 | Anusha Sirithara | Internal Medicine | 260 Gateway Dr Ste 2122b, Bel Air, MD 21014-4268 | 2007-04-20 |
| 1306992433 | George Samuel Isckarus | Internal Medicine | 2227 Old Emmorton Road Suite 220, Bel Air, MD 21015 | 2007-01-25 |
| 1912078338 | Joseph Angelo, Md LLC | Internal Medicine | 208 Plumtree Road, Suite D, Bel Air, MD 21015 | 2006-11-10 |
| 1578584405 | Sinnarajah Raguraj | Internal Medicine | 208 Plumtree Rd, Suite C, Bel Air, MD 21015-6056 | 2006-07-23 |
| 1952366056 | Sriram H. Balasubramanian | Internal Medicine | 2021b Emmorton Road, Suite 210, Bel Air, MD 21015 | 2006-04-20 |
| 1104890797 | Frank Sparandero | Internal Medicine | 1032 Barrymore Dr, Bel Air, MD 21014-6915 | 2006-02-13 |
| Find all providers in BEL AIR | ||||
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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.