Precision Wellness Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRECISION WELLNESS GROUP

Practice address

8700 Central Ave Ste 204
Landover, MD 20785-4868

Phone

(301) 333-3770

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Robert Kennedy Jr., MDNPI 1598051328

Title

Medical Director

Phone

(301) 873-8292

Specialties & licenses 1

Addresses

Practitioners 1

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

• Robert Winston Kennedy Jr., MD

  • Internal Medicine Physician
  • Bel Air, MD
  • NPI 1598051328
  NPD Authorized official

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1487168696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 PHELPS LUCK DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452554",
            "telephone_number": "301-873-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE STE 204",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854868",
            "telephone_number": "301-333-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-873-8292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ayanna Brinea Powell, RDH,DHSC
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• Internal Medicine Physician in Landover, MD
• Providers in Landover, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.