Healing Vessel Medical Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALING VESSEL MEDICAL ASSOCIATES LLC

Practice address

14903 Dennington Dr
Bowie, MD 20721-3277

Phone

(301) 335-3941

NPI assigned

Mar 2, 2018

Organization subpart

No

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

Authorized official

Name

Evelyn OmoregbeeNPI 1659701522

Title

Managing Director

Phone

(301) 335-3941

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

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.

• Evelyn Omoregbee

  • Family Nurse Practitioner
  • Crofton, MD
  • NPI 1659701522

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1770085029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14903 DENNINGTON DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213277",
            "telephone_number": "301-335-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14903 DENNINGTON DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213277",
            "telephone_number": "301-335-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING VESSEL MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "OMOREGBEE",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "301-335-3941"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Children and Families, Inc.
• Healing Hands Restorative Medicine Inc
• Healing Her LLC
• Healing Mind Mental Health Services
• Healing on Tap, LLC (On TAP Consulting)
• Healing Vessels Inc
• Healthcare Depot
• Healthcare Financial Services LLC
• Healthed Consulting, Inc.
• Healthy and Safe Living

• Family Medicine Physician in Bowie, MD
• Providers in Bowie, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.