Wellspring Cardiac Care, P.a.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

D0022633 Issued in MD

Legal business name

WELLSPRING CARDIAC CARE, P.A.

Practice address

110 West Rd
Building a, Suite 201
Baltimore, MD 21204-2316

Phone

(410) 307-1090

Fax

(410) 307-1095

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Jorge C. Secada-Lovio, M.D.

Title

Owner

Phone

(410) 307-1090

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1184817702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10845 PHILADELPHIA RD",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621717",
            "telephone_number": "410-335-0008",
            "fax_number": "410-335-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WEST RD",
            "address_2": "BUILDING A, SUITE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212042316",
            "telephone_number": "410-307-1090",
            "fax_number": "410-307-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING CARDIAC CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "SECADA-LOVIO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-307-1090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0022633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414997100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "FKJ0JC",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN2575",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC",
            "identifier": "J046",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen A Wells, CCC-SLP
• Lauren A Wells, MD
• Paul Wells, LCADC
• Sherese Wells
• Trinity Leyton Wells
• Wellspring Counseling Center
• Wellsprings Home Health Care LLC
• Wellwood Family Dentistry LLC
• Derek Stuart Welsbie, MD, PHD
• Christopher J Welsh, M.D.

• Cardiovascular Disease Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.