Well Clinic Pediatrics & Family Medicine PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0101222102 Issued in VA

Legal business name

WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC

Practice address

200 Medical Parkway Suite 315
Chesapeake, VA 23320

Phone

(757) 547-0588

Fax

(757) 548-8572

NPI assigned

Jun 8, 2017

Organization subpart

No

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

Authorized official

Name

Lopito B Bugarin, MD

Title

Dr.

Phone

(757) 547-0588

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730618091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PKWY STE 315",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204911",
            "telephone_number": "757-547-0588",
            "fax_number": "757-548-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARKWAY SUITE 315",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-547-0588",
            "fax_number": "757-548-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BUGARIN",
        "authorized_official_first_name": "LOPITO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "757-547-0588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101222102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "190000714",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "H04227",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR/CERTIFICATION",
            "identifier": "190000714",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005605423",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mina Adriana Weisenburger, RBT
• Marylou M Weiss, NP
• Michael S Weissman, PH.D.
• Nancy Mae Welch, M.D, M.H.A., M.B.A.
• Welcome Home Residential LLC
• Kidada Wellington
• Wellness & Balance LLC
• Wellness Healthcare Services LLC
• Michele Wells, LMT
• Wellspring Family Medical Center

• Primary Care Clinic/Center in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Primary Care Clinic/Center in Virginia

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