Wellbeingmedicalcare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D53966 Issued in MD

Legal business name

WELLBEINGMEDICALCARE, LLC

Practice address

5018 Dorsey Hall Dr
Suite 104
Ellicott City, MD 21042-7855

Phone

(410) 730-8288

Fax

(888) 235-9533

NPI assigned

Sep 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kristin Clark, M.D.NPI 1932177508

Title

Member

Phone

(410) 730-8288

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Clark, M.D.

  • Family Medicine Physician
  • Ellicott City, MD
  • NPI 1932177508
  NPD (past) Authorized official

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1215260146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 DORSEY HALL DR",
            "address_2": "SUITE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427855",
            "telephone_number": "410-730-8288",
            "fax_number": "888-235-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 DORSEY HALL DR",
            "address_2": "SUITE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427855",
            "telephone_number": "410-730-8288",
            "fax_number": "888-235-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEINGMEDICALCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-730-8288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D53966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Maureen Weber, MD
• Alexandra Kennedy Webster, RN, IBCLC
• Michael David Weinstein, DDS
• Barbara Ann Weisgerber, COTA
• Well-Being Medical Care, LLC
• Matthew Lynton Weller, DPT
• Syreeta Lauren Wells, M.S. CCC-SLP
• Wellthrive Health and Aesthetics, LLC
• Welton Behavior Associates, LLC
• Sharon Helene Weltz, LCPC

• Family Medicine Physician in Ellicott City, MD
• Providers in Ellicott City, 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 Sep 10, 2009; 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.