Total Wellness Medical Center LLC

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

D0040898 Issued in MD

Legal business name

TOTAL WELLNESS MEDICAL CENTER LLC

Practice address

4000 Mitcheville Road
B322
Bowie, MD 20716-0000

Phone

(301) 808-0341

Fax

(301) 263-6860

NPI assigned

Nov 1, 2016

Organization subpart

No

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

Authorized official

Name

Miriam D Martin, M.D.

Title

Medical Director

Phone

(301) 808-0341

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1740732262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHEVILLE ROAD",
            "address_2": "B322",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207160000",
            "telephone_number": "301-808-0341",
            "fax_number": "301-263-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHEVILLE ROAD",
            "address_2": "B322",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207160000",
            "telephone_number": "301-808-0341",
            "fax_number": "301-263-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WELLNESS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-808-0341",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MD",
            "license": "D0040898",
            "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 10, 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.