NPIMap

Organization Active NPI

Nu Pathway Healthcare and Wellness LLC

  • Family Medicine Physician
  • Bowie, MD
National Provider Identifier
1427763572
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NU PATHWAY HEALTHCARE AND WELLNESS LLC
Practice address
14300 Gallant Fox LN Ste 202
Bowie, MD 20715-4033
Phone
(301) 321-7741
Fax
(301) 291-7071
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Owen Gardner
Title
Owner
Phone
(301) 928-4725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14300 Gallant Fox LN Ste 202
Bowie, MD 20715-4033

Mailing address

14300 Gallant Fox LN Ste 202
Bowie, MD 20715-4033
Phone (301) 321-7741

Other practice location 1

2015 E West Hwy
Silver Spring, MD 20910-2602
Phone (301) 321-7741

Other practice location 2

200 Morgnec Rd
Chestertown, MD 21620-1026
Phone (301) 321-7741

Other practice location 3

415 Morgnec Rd
Chestertown, MD 21620-1046
Phone (301) 321-7741

Other practice location 4

11974 Edgehill Terrace Rd
Princess Anne, MD 21853-2105
Phone (301) 321-7741

Other practice location 5

520 Glenburn Ave
Cambridge, MD 21613-1415
Phone (301) 321-7741

Other practice location 6

520 Kerr Ave
Denton, MD 21629-1343
Phone (301) 321-7741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220113001074 MD Part B Supplier - Clinic/Group Practice 9830529585 Receives reassigned benefits from 8 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chestertown, MD; Columbia, MD

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory

Locations

520 Glenburn Ave
Cambridge, MD 21613
Phone (410) 228-9191

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": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1427763572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN STE 202",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154033",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN STE 202",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154033",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 E West Hwy",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209102602",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Morgnec Rd",
            "address_purpose": "LOCATION",
            "city": "Chestertown",
            "state": "MD",
            "postal_code": "216201026",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Morgnec Rd",
            "address_purpose": "LOCATION",
            "city": "Chestertown",
            "state": "MD",
            "postal_code": "216201046",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11974 Edgehill Terrace Rd",
            "address_purpose": "LOCATION",
            "city": "Princess Anne",
            "state": "MD",
            "postal_code": "218532105",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Glenburn Ave",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MD",
            "postal_code": "216131415",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Kerr Ave",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "MD",
            "postal_code": "216291343",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NU PATHWAY HEALTHCARE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "OWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-928-4725"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.