FMW Medspa Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FMW MEDSPA INC.

Practice address

110 West Rd Ste 210
Towson, MD 21204-2341

Phone

(443) 840-9478

NPI assigned

Apr 10, 2020

Last updated

Sep 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra FergusonNPI 1295285047

Title

Provider

Phone

(443) 840-9478

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

FMW Medspa Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• FMW Medspa Inc.

  • Psychiatry Physician
  • Towson, MD
  • NPI 1538747068
  NPD tax ID
• FMW Medspa Inc.

  dba FMW Medical Services

  • Community/Behavioral Health Agency
  • Towson, MD
  • NPI 1639987894
  NPD tax ID

Practitioners 3

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.

• Sandra N Ferguson, FNP-BC

  • Family Nurse Practitioner
  • Joppa, MD
  • NPI 1295285047
  Medicare reassignment NPD Authorized official
• Cassandra Ann Burks, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Randallstown, MD
  • NPI 1700546223
  Medicare reassignment NPD
• Linette I Eke, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
  • NPI 1477074201
  Medicare reassignment NPD

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1851910855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WEST RD STE 210",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042341",
            "telephone_number": "443-840-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WEST RD STE 210",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042341",
            "telephone_number": "443-840-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMW MEDSPA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "443-840-9478"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847503200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirelle Kleitz Flowers, LCSW-C
• Floyd Bagwell III, DDS, P.C.
• Latoya Floyd
• FMW Medspa Inc.
• FMW Medspa Inc. (FMW Medical Services)
• FMW Services
• Caleigh Fogel
• Lawrence Jack Fogelson, M.D.
• Leanna Foglia, MSW, LCSW-C
• Mark Stephen Foley, O.D.

• Family Medicine Physician in Towson, MD
• Providers in Towson, 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 Sep 23, 2025; 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.