NPIMap

Organization Active NPI

Medwell Beltsville Medical Clinic, Inc.

  • Family Medicine Physician
  • Beltsville, MD
National Provider Identifier
1427484260
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDWELL BELTSVILLE MEDICAL CLINIC, INC.
Practice address
4729 Sellman Rd
Beltsville, MD 20705-2573
Phone
(301) 595-2820
Fax
(301) 595-2821
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Ms. Constance L Millstein, FNP
Title
Owner
Phone
(301) 595-2820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD Primary

Addresses

Primary practice location

4729 Sellman Rd
Beltsville, MD 20705-2573

Mailing address

4729 Sellman Rd
Beltsville, MD 20705-2573
Phone (301) 595-2820

National Provider Directory

National Provider Directory

Locations

4729 Sellman Rd
Beltsville, MD 20705
Phone (301) 595-2820

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1427484260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 SELLMAN RD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052573",
            "telephone_number": "301-595-2820",
            "fax_number": "301-595-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 SELLMAN RD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052573",
            "telephone_number": "301-595-2820",
            "fax_number": "301-595-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWELL BELTSVILLE MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "MILLSTEIN",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-595-2820",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.