Serenity Medical & Wellness Center of Frederick

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D67750 Issued in MD

Legal business name

SERENITY MEDICAL & WELLNESS CENTER OF FREDERICK

Practice address

801 Toll House Ave
Suite F1
Frederick, MD 21701-4564

Phone

(240) 561-5163

NPI assigned

Mar 31, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Bianca Udugampola, M.D

Title

Owner

Phone

(301) 331-6463

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1083009658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 WORMANS MILL RD STE B",
            "address_2": "SUITE 243",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013037",
            "telephone_number": "240-651-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TOLL HOUSE AVE",
            "address_2": "SUITE F1",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014564",
            "telephone_number": "240-561-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MEDICAL & WELLNESS CENTER OF FREDERICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "UDUGAMPOLA",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-331-6463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D67750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marciana Senires, LCSW-C
• McKensi Sensibaugh
• Sequon Inc
• Eric Serejski, DIPL. AC & CH
• Serene Acupuncture and Integrative Medicine LLC
• Serenity Natural Health Center, LLC
• Serenity Treatment Center, Inc.
• Serenity Treatment Center, Inc.
• Serenity Treatment Center, Inc.
• Serenity Treatment Center, Inc.

• Internal Medicine Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.