NPIMap

Organization Active NPI

Total Wellness & Health Center Inc

  • Primary Care Clinic/Center
  • Upper Marlboro, MD
National Provider Identifier
1063169225
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TOTAL WELLNESS & HEALTH CENTER INC
Doing business as
Total Wellness & Health Center Inc
Practice address
9500 Marlboro Pike Ste 12
Upper Marlboro, MD 20772-3766
Phone
(301) 494-1006
Fax
(301) 494-1006
NPI assigned
Mar 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Dr. Yetunde Sannoh, MDNPI 1871752717
Title
Medical Director
Phone
(202) 870-7275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9500 Marlboro Pike Ste 12
Upper Marlboro, MD 20772-3766

Mailing address

9550 Marlboro Pike
Suite # 12
Upper Marlboro, MD 20772-3766
Phone (301) 494-1006

Other identifiers 1

IdentifierTypeStateIssuer
D0075522OtherMDSTATE LICENSE

Other names 1

  • Total Wellness & Health Center Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220516002239 DC Part B Supplier - Clinic/Group Practice 7113304056 Receives reassigned benefits from 1 practitioner
Practice locations: Upper Marlboro, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1063169225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 MARLBORO PIKE",
            "address_2": "SUITE # 12",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723766",
            "telephone_number": "301-494-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MARLBORO PIKE STE 12",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723766",
            "telephone_number": "301-494-1006",
            "fax_number": "301-494-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WELLNESS & HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-04-06",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "SANNOH",
        "authorized_official_first_name": "YETUNDE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "202-870-7275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D0075522",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Wellness & Health Center Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Total Wellness & Health Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.