American Group Fitness, Agx-LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

AMERICAN GROUP FITNESS, AGX-LLC

Practice address

4 Mayflower CT
Bush Street
Pikesville, MD 21208-6043

Phone

(443) 839-6240

NPI assigned

Mar 16, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Deandre Wells, GROUP EXCER TRAIN

Title

Founder/Ceo

Phone

(443) 839-6240

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1609317122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MAYFLOWER COURT",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "443-839-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MAYFLOWER CT",
            "address_2": "BUSH STREET",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086043",
            "telephone_number": "443-839-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN GROUP FITNESS, AGX-LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "DEANDRE",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "443-839-6240",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "GROUP EXCER TRAIN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.