Park West Health Systems Incorporated

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

PARK WEST HEALTH SYSTEMS INCORPORATED

Practice address

3319 W Belvedere Ave
Baltimore, MD 21215-5103

Phone

(410) 542-7800

NPI assigned

Mar 27, 2006

Last updated

Aug 20, 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

Ms. Terri Fields

Title

CTLC, CPC, CS

Phone

(443) 567-6120

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1205896719. Details of each certification follow.

• CCN 211871 Federally qualified health center · Active · Details
• CCN 211805 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 211871

Legal name

PARK WEST HEALTH SYSTEM INCORPORATED

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 29, 2008

Last certification

Jul 29, 2008

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Jul 20, 1972 in MD

Enrollment address

4151 Park Heights Ave
Baltimore, MD 21215-6730

Federally qualified health center certification: CCN 211805

Legal name

PARK WEST HEALTH SYSTEM INCORPORATED

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 1, 1991

Last certification

Dec 1, 1991

Ownership / control type

For profit – partnership

Organization structure

CorporationProprietary

Incorporated

Jul 20, 1972 in MD

Enrollment address

3319W Belvedere Ave
Baltimore, MD 21215-5143

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Park West Health System Incorporated

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1497801153

  8921090820

  Same PAC ID
• Park West Health Systems Incorporated

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1255512638

  8921090820

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Park West Health Systems Incorporated

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1255512638

  O20080310000489

  Same enrollment

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Cyrus Jefferson Lawyer III, M.D.

  • Specialist
  • Baltimore, MD
  • NPI 1831184878

  Corporate Director

  CMS ownership

Practitioners 2

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.

• Natalie McCabe, LMSW

  • Social Worker
  • Baltimore, MD
  • NPI 1538759253
  NPD (past)
• Malika Nzinga Sharieff-Muhammad, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1184348286
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1205896719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155103",
            "telephone_number": "410-542-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155103",
            "telephone_number": "410-542-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK WEST HEALTH SYSTEMS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CTLC, CPC, CS",
        "authorized_official_telephone_number": "443-567-6120",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912391100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park Heights Medical Clinic LLC (Jai Medical Center)
• Park Lane Pharmacy (Park Lane Pharmacy Inc)
• Park West Health System
• Park West Health System Incorporated
• Park West Health System, Inc. (Howard Park Community Care Clinic)
• Park West Health Systems Incorporated
• Park West Health Systems, Incorporated
• Lauren Park-Yanovitch
• Aprill Park, MD
• Ashley Park, MD

• Federally Qualified Health Center (FQHC) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Federally Qualified Health Center (FQHC) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.