NPIMap

Organization Active NPI

Living Wellness Medical Center

  • General Practice Physician
  • Baltimore, MD
National Provider Identifier
1518354133
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LIVING WELLNESS MEDICAL CENTER
Practice address
220 W Cold Spring LN
Baltimore, MD 21210-2802
Phone
(443) 524-6600
Fax
(443) 524-6608
NPI assigned
Apr 21, 2015
Last updated
Apr 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Dr. Lauren J Cohen, D.C.NPI 1992782346
Title
Executive Director
Phone
(443) 524-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

220 W Cold Spring LN
Baltimore, MD 21210-2802

Mailing address

220 W Cold Spring LN
Baltimore, MD 21210-2802
Phone (443) 524-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151006000483 MD Part B Supplier - Clinic/Group Practice 0244548568 Receives reassigned benefits from 7 practitioners
Practice locations: Baltimore, MD
O20160114003059 MD DME Supplier - Physician - General Practice 0244548568 Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Living Wellness Medical Center2 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.

Practitioners & affiliated clinicians

Practitioners 8

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": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1518354133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W COLD SPRING LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102802",
            "telephone_number": "443-524-6600",
            "fax_number": "443-524-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W COLD SPRING LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102802",
            "telephone_number": "443-524-6600",
            "fax_number": "443-524-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELLNESS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-524-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.