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MD WELLNESS AND HEALTH CENTER NPI 1154726123


NPI Information

NPI: 1154726123
Provider Name: MD WELLNESS AND HEALTH CENTER
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 49D2087311

Address:
10518 SPOTSYLVANIA AVE,
SUITE 102
FREDERICKSBURG, VA
ZIP 22408
Phone: (540) 645-6400
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MD WELLNESS AND HEALTH CENTER is a medical specialty clinic center in Fredericksburg, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MD WELLNESS AND HEALTH CENTER NPI is 1154726123. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10518 SPOTSYLVANIA AVE,
SUITE 102
FREDERICKSBURG, VA
ZIP 22408
Phone: (540) 645-6400
Fax: (888) 427-4279

The provider's authorized official is Makini Shani Garrett Ainsworth .
The authorized official title is Ceo, Internal Medicine Physician and has the following contact phone number (540) 645-6400.

The CLIA number assigned to this NPI record is 49D2087311 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2014 and was last updated on 11/20/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2261QM2500XClinic/CenterMedical Specialty0101238953VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.