NPIMap

Organization Active NPI

Medical Center for Healthy Weight Loss, Inc.

Doing business as LiveLyte Medical Weight Management

  • Medical Specialty Clinic/Center
  • Annapolis, MD
National Provider Identifier
1790077824
Registry record updated May 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D26199 Issued in MD
Legal business name
MEDICAL CENTER FOR HEALTHY WEIGHT LOSS, INC.
Doing business as
LiveLyte Medical Weight Management
Practice address
2000 Medical Pkwy
Suite 605
Annapolis, MD 21401-3742
Phone
(410) 266-5667
Fax
(410) 266-9332
NPI assigned
May 8, 2011
Last updated
May 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2011

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

Authorized official

Name
Mrs. Emily Ulmer Michelsen, M.D.
Title
President
Phone
(410) 721-9153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X D26199 MD Primary

Addresses

Primary practice location

2000 Medical Pkwy
Suite 605
Annapolis, MD 21401-3742

Mailing address

2419 Fox Creek LN
Davidsonville, MD 21035-1152
Phone (410) 721-9153

Other names 1

  • LiveLyte Medical Weight Management Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304812800000",
    "number": "1790077824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 FOX CREEK LN",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "210351152",
            "telephone_number": "410-721-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY",
            "address_2": "SUITE 605",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013742",
            "telephone_number": "410-266-5667",
            "fax_number": "410-266-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER FOR HEALTHY WEIGHT LOSS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-08",
        "last_updated": "2011-05-08",
        "status": "A",
        "authorized_official_last_name": "MICHELSEN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "ULMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-721-9153",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D26199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LiveLyte Medical Weight Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2011; 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.