| Living Wellness Medical Center | |
|
220 W Cold Spring Ln, Baltimore, MD 21210-2802 | |
| (443) 524-6600 | |
| (443) 524-6608 |
| Full Name | Living Wellness Medical Center |
|---|---|
| Type | Facility |
| Speciality | General Practice |
| Location | 220 W Cold Spring Ln, Baltimore, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518354133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Karen Donaldson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578569786 PECOS PAC ID: 9032189022 Enrollment ID: I20040728000172 |
| Provider Name | Jarrett P Cohen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861479800 PECOS PAC ID: 0941304976 Enrollment ID: I20070402000330 |
| Provider Name | Karen L Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972846186 PECOS PAC ID: 7012147267 Enrollment ID: I20140307001282 |
| Provider Name | Dominick J Rose |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164965653 PECOS PAC ID: 4385926500 Enrollment ID: I20170124001944 |
| Provider Name | Nalynn Bellegarde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831651900 PECOS PAC ID: 2062745292 Enrollment ID: I20190603003001 |
| Provider Name | Rodesha Zakia Davis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861053977 PECOS PAC ID: 6608102710 Enrollment ID: I20190727000292 |
| Provider Name | Joshua Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003697772 PECOS PAC ID: 0749639979 Enrollment ID: I20231213000190 |
| Mailing Address | Practice Location Address |
|---|---|
| Living Wellness Medical Center 220 W Cold Spring Ln, Baltimore, MD 21210-2802 Ph: (443) 524-6600 | Living Wellness Medical Center 220 W Cold Spring Ln, Baltimore, MD 21210-2802 Ph: (443) 524-6600 |