Wellcare Medical Clinic LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WELLCARE MEDICAL CLINIC LLC

Practice address

1438 Defense Hwy Ste 102
Gambrills, MD 21054-2021

Phone

(443) 875-3766

NPI assigned

Jul 25, 2022

Organization subpart

No

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

Authorized official

Name

Sadia CheemaNPI 1144873043

Title

Provider

Phone

(443) 875-3766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Wellcare Medical Clinic LLC

  • Primary Care Clinic/Center
  • Gambrills, MD
  • NPI 1588316103

  O20220214000157

  Same enrollment

Tax ID family

Wellcare Medical Clinic 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.

• Wellcare Medical Clinic LLC

  • Primary Care Clinic/Center
  • Gambrills, MD
  • NPI 1588316103
  NPD tax ID

Practitioners 1

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

• Sadia Cheema, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gambrills, MD
  • NPI 1144873043
  NPD Authorized official

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1528794401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 DEFENSE HWY STE 102",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210542021",
            "telephone_number": "443-875-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 DEFENSE HWY STE 102",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210542021",
            "telephone_number": "443-875-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "CHEEMA",
        "authorized_official_first_name": "SADIA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "443-875-3766"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co.
• Kimberly Shannon Wallace, MD
• Ann Allen Warfield
• Wegmans Food Markets, Inc.
• Natasha Wekpe
• Wellcare Medical Clinic LLC
• Katherine Wendt, PTA
• Brittany Nicole Wenschhof, PT, DPT
• Rachel Wilhide
• William a Gormley DPM LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.