Wellspring Family Medicine, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0061801 Issued in MD

Legal business name

WELLSPRING FAMILY MEDICINE, PC

Practice address

311 N 4TH St Ste 1
Oakland, MD 21550-1371

Phone

(301) 334-7855

Fax

(833) 398-2061

NPI assigned

Jul 19, 2006

Last updated

Mar 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaina Saturday

Title

Cfo

Phone

(301) 334-7855

Specialties & licenses 5

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MD, WV2 enrollments

Enrollment records 2

Locations

Practitioners 15

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.

• Marlana Sheridan Bollinger, M.D.

  • Family Medicine Physician
  • Oakland, MD
  • NPI 1093196826

  Single Specialty, WV

  Medicare reassignment NPD
• Kenneth Robert Buczynski, M.D.

  • Family Medicine Physician
  • Oakland, MD
  • NPI 1790704914

  WV

  Medicare reassignment NPD
• Richard Allen Porter, D.O.

  • Family Medicine Physician
  • Oakland, MD
  • NPI 1184646341
  Medicare reassignment NPD
• Stephen Schaeffer, MD

  • Family Medicine Physician
  • Oakland, MD
  • NPI 1730618430
  Medicare reassignment NPD
• Thomas George Jr., DNP, CRNP, FNP-C

  • Family Nurse Practitioner
  • Shelley, ID
  • NPI 1417338930

  MD

  Medicare reassignment NPD
• Christopher Daron Baker, PA-C

  • Physician Assistant
  • Oakland, MD
  • NPI 1356529465
  Medicare reassignment
• Jean Christine Baker, PA

  • Physician Assistant
  • Oakland, MD
  • NPI 1386822856
  Medicare reassignment
• Amber Dawn King, PA-C

  • Physician Assistant
  • Oakland, MD
  • NPI 1316472392
  Medicare reassignment
• Stephanie Brook Sisler, M.D.

  • Pediatrics Physician
  • Oakland, MD
  • NPI 1982963575
  Medicare reassignment
• Jason Van Antwerp, MD

  • Family Medicine Physician
  • Oakland, MD
  • NPI 1811379563
  Medicare reassignment
• Dena Beckner, PA

  • Physician Assistant
  • Davis, WV
  • NPI 1952682320

  MD

  Medicare reassignment
• Lisa Ryan, PSYD

  • Clinical Psychologist
  • Terra Alta, WV
  • NPI 1477911428

  MD

  Medicare reassignment

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1194744359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 4TH ST",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501395",
            "telephone_number": "301-334-7855",
            "fax_number": "301-334-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N 4TH ST STE 1",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501371",
            "telephone_number": "301-334-7855",
            "fax_number": "833-398-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "SATURDAY",
        "authorized_official_first_name": "SHAINA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-334-7855"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0001983",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0064705",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0061801",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0061801",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "H0064705",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002509760",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD",
            "identifier": "64303201",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001663200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI,ALL,OPT CH,MDIPA",
            "identifier": "2128112",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001034",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG #",
            "identifier": "610547800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DC",
            "identifier": "K076-0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co. (Walgreens #12266)
• Bethany J Walls, OCCUPATIONAL THERAPI
• Elizabeth A Walter, RN
• Holly M Warne, OTR/L
• Stacey Warnick, M.P.T.
• Wellspring Family Medicine, PC (Wellspring family Medicine)
• Wellspring Family Medicine, PC
• West Virginia University Medical Corporation
• West Virginia University Medical Corporation
• West Virginia University Medical Corporation

• Family Medicine Physician in Oakland, MD
• Providers in Oakland, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.