Well-Being Medical Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

D53966 Issued in MD

Legal business name

WELL-BEING MEDICAL CARE, LLC

Practice address

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

Phone

(410) 730-8288

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Kristin Marie Clark, M.D.

Title

Physician and Owner

Phone

(410) 730-8288

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1467614032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071090640",
            "telephone_number": "973-751-7515",
            "fax_number": "973-751-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 DORSEY HALL DR",
            "address_2": "STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427855",
            "telephone_number": "410-730-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL-BEING MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN AND OWNER",
        "authorized_official_telephone_number": "410-730-8288",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D53966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Angela Fahnestock Webb, FNP
• Brenda Maureen Weber, MD
• Alexandra Kennedy Webster, RN, IBCLC
• Michael David Weinstein, DDS
• Barbara Ann Weisgerber, COTA
• Wellbeingmedicalcare, LLC
• Matthew Lynton Weller, DPT
• Syreeta Lauren Wells, M.S. CCC-SLP
• Wellthrive Health and Aesthetics, LLC
• Welton Behavior Associates, LLC

• Primary Care Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.