Protelix Health Clinic

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PROTELIX HEALTH CLINIC

Practice address

22 W Padonia Rd Ste C133
Lutherville Timonium, MD 21093-2238

Phone

(410) 575-4494

NPI assigned

Aug 10, 2023

Organization subpart

No

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

Authorized official

Name

Thelma E PaineNPI 1558629246

Title

Owner/Ceo

Phone

(410) 575-4494

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25068/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Thelma E Paine, APRN

  • Family Nurse Practitioner
  • Lutherville Timonium, MD
  • NPI 1558629246
  NPD Authorized official
• Geneva R. Tiggle, LICSW

  • Clinical Social Worker
  • Cambridge, MA
  • NPI 1427169333
  NPD

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1093498453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD STE C133",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932238",
            "telephone_number": "410-575-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD STE C133",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932238",
            "telephone_number": "410-575-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTELIX HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "PAINE",
        "authorized_official_first_name": "THELMA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "410-575-4494"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ya-Roni Monique Prather, RN
• Premier Surgery Partners
• Primary Care of Maryland Professional Corporation
• Primary Care of Maryland Professional Corporation
• Privia Medical Group, LLC
• Protelix Health Clinic LLC
• Grace Olivia Putz
• Tanya Justyne Quille, PH.D.
• Jennifer Raia, LCSW-C, MSW
• Heather A. Raley, L.C.P.C

• Clinical Social Worker in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.