Active NPI
NMS Wellness LLC
- Family Medicine Physician
- Annapolis, MD
National Provider Identifier
1124457049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NMS WELLNESS LLC
- Practice address
- 900 Van Buren St
Annapolis, MD 21403-2124 - Phone
- (410) 267-8653
- NPI assigned
- Nov 2, 2013
- Organization subpart
- Yes
- Parent organization
- NMS WELLNESS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Yost Jr., ESQ.
- Title
- General Counsel
- Phone
- (301) 864-2333
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Physical Therapist | 225100000X | |||
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | |||
| Occupational Therapist | 225X00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
900 Van Buren St
Annapolis, MD 21403-2124
Mailing address
4922 Lasalle Rd
Hyattsville, MD 20782-3302
Phone (301) 864-2333
Other names 1
- Annapolis Branch
National Provider Directory
National Provider Directory- Tax ID family
- NMS Wellness LLC
- Part of
- NMS Wellness LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Hagerstown, MD
- NPI 1033548953
-
- Family Medicine Physician
- Silver Spring, MD
- NPI 1750710679
-
- Family Medicine Physician
- Hagerstown, MD
- NPI 1609301399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383350400000",
"number": "1124457049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4922 LASALLE RD",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207823302",
"telephone_number": "301-864-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 VAN BUREN ST",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214032124",
"telephone_number": "410-267-8653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NMS WELLNESS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NMS WELLNESS LLC",
"enumeration_date": "2013-11-02",
"last_updated": "2013-11-02",
"status": "A",
"authorized_official_last_name": "YOST",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "GENERAL COUNSEL",
"authorized_official_telephone_number": "301-864-2333",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "ESQ."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Annapolis Branch",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.