Organization Active NPI

Telewell LLC

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1487416137
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TELEWELL LLC
Practice address
21400 W Dixie Hwy # 33180
Miami, FL 33180-1144
Phone
(240) 291-5145
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Amanda Geyer
Title
Coo
Phone
(240) 291-5145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

21400 W Dixie Hwy # 33180
Miami, FL 33180-1144

Mailing address

55 Jonathan St
Hagerstown, MD 21740-4801
Phone (240) 291-5145

Other identifiers 1

IdentifierTypeStateIssuer
1033997671OtherNPI 2

National Provider Directory

National Provider Directory
Tax ID family
Telewell LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1487416137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 JONATHAN ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404801",
            "telephone_number": "240-291-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21400 W DIXIE HWY # 33180",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801144",
            "telephone_number": "240-291-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "GEYER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "240-291-5145"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2",
            "identifier": "1033997671",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.