Belvedere Medispa

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BELVEDERE MEDISPA

Practice address

524 E Belvedere Ave Ste a
Baltimore, MD 21212-3701

Phone

(443) 438-7168

NPI assigned

Feb 15, 2021

Last updated

Apr 19, 2021By 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

Linette Eke, NP

Title

Cofounder

Phone

(443) 928-7707

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1235722851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E BELVEDERE AVE STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123701",
            "telephone_number": "443-438-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E BELVEDERE AVE STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123701",
            "telephone_number": "443-438-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELVEDERE MEDISPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "EKE",
        "authorized_official_first_name": "LINETTE",
        "authorized_official_title_or_position": "COFOUNDER",
        "authorized_official_telephone_number": "443-928-7707",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan A Beltran
• Monica Beltran, LCSW-C
• Victoria Beltran, CRNP
• Beltway Internal Medicine
• Belvedere Enterprises Inc. (Belvedere Pharmacy)
• Belvedere Pharmacy LLC (Belvedere Pharmacy)
• Belvedere Pharmacy LLC
• Belvedere Square Dental LLC
• Leonid Belyayev, M.D.
• Daniel C. Belz, MD

• Urgent Care Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Urgent Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.