Edgewater Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U01561 Issued in MD

Legal business name

EDGEWATER ACUPUNCTURE LLC

Practice address

153 Mayo Rd
Suite 5
Edgewater, MD 21037-1852

Phone

(443) 540-3350

NPI assigned

Jun 21, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Meaghan Massella Walker, M.AC, L.AC, DIPL. AC

Title

Owner

Phone

(443) 540-3350

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Ana Paula Duarte, DACM

  • Acupuncturist
  • Redondo Beach, CA
  • NPI 1396085858
  NPD (past)

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1689013740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MAYO RD",
            "address_2": "SUITE 5",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371852",
            "telephone_number": "443-540-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MAYO RD",
            "address_2": "SUITE 5",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371852",
            "telephone_number": "443-540-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWATER ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "MASSELLA WALKER",
        "authorized_official_first_name": "MEAGHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-540-3350",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.AC, L.AC, DIPL. AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01561",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01597",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02034",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Doshi, PA-C
• Dr. Richard C. Fidanza LLC
• Laura C Dreany-Pyles, LCSWC
• Casey Jane Duley
• Jonathan W. Dunn, PT
• Cristine Ehly, ND
• Joshua David Elliott, LAC
• Emily M Frieman DC PA
• Essence of Life Wellness Center, LLC
• Katerina Evans, LCPC

• Acupuncturist in Edgewater, MD
• Providers in Edgewater, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.