NPIMap

Organization Active NPI

Wellspring Realty Corp

Doing business as Wellspring ASC

  • Ambulatory Surgical Clinic/Center
  • Bel Air, MD
National Provider Identifier
1609502590
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WELLSPRING REALTY CORP
Doing business as
Wellspring ASC
Practice address
2012 S Tollgate Rd Ste 208
Bel Air, MD 21015-5902
Phone
(443) 371-9750
Fax
(443) 371-9751
NPI assigned
Jul 25, 2022
Last updated
Jul 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Nkiruka U Arene, MDNPI 1477517332
Title
Owner/Medical Director
Phone
(443) 977-9180

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X NU
Diagnostic Ultrasound Physician 2085U0001X NU
Interventional Pain Medicine Physician 208VP0014X NU
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

2012 S Tollgate Rd Ste 208
Bel Air, MD 21015-5902

Mailing address

2000 Georgeanna CT
Jarrettsville, MD 21084-1833
Phone (443) 977-9180

Other names 1

  • Wellspring ASC Doing business as

National Provider Directory

National Provider Directory

Locations

2012 S Tollgate Rd
Ste 208
Bel Air, MD 21015
Phone (443) 371-9750

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": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1609502590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GEORGEANNA CT",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841833",
            "telephone_number": "443-977-9180",
            "fax_number": "443-371-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD STE 208",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155902",
            "telephone_number": "443-371-9750",
            "fax_number": "443-371-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING REALTY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "ARENE",
        "authorized_official_first_name": "NKIRUKA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-977-9180",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring ASC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellspring ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.