NPIMap

Organization Active NPI

Total Health Medical Center, PC

  • Multi-Specialty Clinic/Center
  • Waldorf, MD
National Provider Identifier
1063603777
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TOTAL HEALTH MEDICAL CENTER, PC
Practice address
12106 Old Line Ctr
Waldorf, MD 20602-2553
Phone
(301) 645-8898
Fax
(240) 222-3280
NPI assigned
Aug 7, 2007
Last updated
Jan 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Dr. Edwin L Lipsitz, D.C.NPI 1932159365
Title
President
Phone
(301) 645-8898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

12106 Old Line Ctr
Waldorf, MD 20602-2553

Mailing address

34 Shining Willow Way # 288
La Plata, MD 20646-4224
Phone (301) 645-8898

Other names 1

  • Southern Maryland Physical Therapy & Chiropractic, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

23127 Three Notch Rd
California, MD 20619
Phone (301) 862-3202

12109 Old Line Ctr
Waldorf, MD 20602

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1063603777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SHINING WILLOW WAY # 288",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464224",
            "telephone_number": "301-645-8898",
            "fax_number": "240-222-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12106 OLD LINE CTR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022553",
            "telephone_number": "301-645-8898",
            "fax_number": "240-222-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "LIPSITZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-645-8898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Maryland Physical Therapy & Chiropractic, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.