Organization Active NPI

The Wellworkplace

Doing business as Well Advantage

  • Internal Medicine Physician
  • Sykesville, MD
National Provider Identifier
1295127660
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0040085 Issued in MD
Legal business name
THE WELLWORKPLACE
Doing business as
Well Advantage
Practice address
7543 Main St
2ND Floor
Sykesville, MD 21784-7389
Phone
(410) 795-7579
NPI assigned
Feb 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Bonnie Monroe
Title
Vice President of Operations
Phone
(410) 795-7579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0040085 MD Primary

Addresses

Primary practice location

7543 Main St
2ND Floor
Sykesville, MD 21784-7389

Mailing address

7543 Main St
2ND Floor
Sykesville, MD 21784-7389
Phone (410) 795-7579

Other names 1

  • Well Advantage Doing business as

National Provider Directory

National Provider Directory

Locations

7543 Main St
Fl 2
Sykesville, MD 21784
Phone (410) 795-7579

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1295127660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7543 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847389",
            "telephone_number": "410-795-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7543 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847389",
            "telephone_number": "410-795-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLWORKPLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "410-795-7579"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0040085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Advantage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sykesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.