Protelix Health Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PROTELIX HEALTH CLINIC LLC

Practice address

22 W Padonia Rd Ste C133
Lutherville Timonium, MD 21093-2238

Phone

(410) 575-4494

NPI assigned

Feb 12, 2021

Organization subpart

No

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

Authorized official

Name

Thelma Paine, APRN, FNP-C

Title

Owner/Ceo

Phone

(410) 575-4494

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 3

Locations

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1790378586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810J YORK RD STE 178",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935118",
            "telephone_number": "410-575-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD STE C133",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932238",
            "telephone_number": "410-575-4494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810J York Rd Ste 178",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210935118",
            "country_code": "US",
            "telephone_number": "410-575-4494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROTELIX HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "PAINE",
        "authorized_official_first_name": "THELMA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "410-575-4494",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558629246",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "protelixhealthcl@gmail.com",
            "affiliation": "N",
            "endpointDescription": "this is a direct clinic/business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1810J York Rd Ste 178",
            "city": "Lutherville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210935118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "protelixhealthcl@gmail.com",
            "affiliation": "N",
            "endpointDescription": "direct/clinic email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1810J York Rd Ste 178",
            "city": "Lutherville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210935118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "protelixhealth@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Direct Clinic email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "22 W Padonia Rd Ste C133",
            "city": "Lutherville Timonium",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210932238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Primary Care Clinic/Center in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.