Organization Active NPI

Wellspring Cardiac Care, P.a.

  • Specialist
  • Towson, MD
National Provider Identifier
1508077439
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0022633 Issued in MD
Legal business name
WELLSPRING CARDIAC CARE, P.A.
Practice address
22 West Rd
Suite 300
Towson, MD 21204-2326
Phone
(410) 828-5323
Fax
(410) 828-5337
NPI assigned
May 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jorge C. Secada-Lovio, M.D.NPI 1316910011
Title
Owner
Phone
(410) 828-5323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0022633 MD Primary

Addresses

Primary practice location

22 West Rd
Suite 300
Towson, MD 21204-2326

Mailing address

22 West Rd
Suite 300
Towson, MD 21204-2326
Phone (410) 828-5323

National Provider Directory

National Provider Directory

Locations

22 West Rd
Ste 300
Towson, MD 21204
Phone (410) 321-6100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508077439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WEST RD",
            "address_2": "SUITE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042326",
            "telephone_number": "410-828-5323",
            "fax_number": "410-828-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WEST RD",
            "address_2": "SUITE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042326",
            "telephone_number": "410-828-5323",
            "fax_number": "410-828-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING CARDIAC CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SECADA-LOVIO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-828-5323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0022633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.