Telewell LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TELEWELL LLC

Practice address

21400 W Dixie Hwy
Miami, FL 33180-1144

Phone

(240) 291-5145

NPI assigned

Sep 15, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Gayer, COO

Title

Coo

Phone

(240) 291-5145

Specialties & licenses 4

Addresses

Tax ID family

Telewell LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Telewell LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1487416137
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1033997671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 ROCKHURST RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171637",
            "telephone_number": "240-201-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21400 W DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801144",
            "telephone_number": "240-291-5145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Jonathan St",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217404801",
            "country_code": "US",
            "telephone_number": "240-291-5145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "716 Maiden Choice Ln Ste 301",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212285959",
            "country_code": "US",
            "telephone_number": "240-291-5145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TELEWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-06-27",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "GAYER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "240-291-5145",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telcom Miami Enterprises LLC
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• Telegalenos, la Fe Medical Clinic LLC
• Telehealth Innovators, PLLC
• Televaris Physician Practice,P.a.
• Telewell LLC
• Fred F Telischi, MD
• Armande Telisma
• Javier Tella, COTA/L
• Flabio Tellado, RBT

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.