Organization Active NPI

Transformation Center Weight Loss

  • Health Service Clinic/Center
  • Edgewood, MD
National Provider Identifier
1114540275
Registry record updated May 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
TRANSFORMATION CENTER WEIGHT LOSS
Practice address
1020 Edgewood Rd
Edgewood, MD 21040-1606
Phone
(443) 356-0007
Fax
(301) 725-4394
NPI assigned
May 24, 2020
Last updated
May 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2020

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

Authorized official

Name
Eugenia Caternor, NPNPI 1154695948
Title
Owner
Phone
(443) 356-0007

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
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

1020 Edgewood Rd
Edgewood, MD 21040-1606

Mailing address

1020 Edgewood Rd
Edgewood, MD 21040-1606
Phone (443) 356-0007

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, 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": "1590278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590278400000",
    "number": "1114540275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 EDGEWOOD RD",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210401606",
            "telephone_number": "443-356-0007",
            "fax_number": "301-725-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 EDGEWOOD RD",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210401606",
            "telephone_number": "443-356-0007",
            "fax_number": "301-725-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION CENTER WEIGHT LOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-24",
        "last_updated": "2020-05-24",
        "certification_date": "2020-05-24",
        "status": "A",
        "authorized_official_last_name": "CATERNOR",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-356-0007",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2020; 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.