| Ideal Wellness LLC | |
|
220 W Cold Spring Ln Baltimore MD 21210-2802 | |
| (410) 662-4476 | |
| (410) 662-9884 |
| Full Name | Ideal Wellness LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 220 W Cold Spring Ln, Baltimore, Maryland |
| Authorized Official Name and Position | Michael Dorn (CEO/OWNER) |
| Authorized Official Contact | 4109166888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Wellness LLC 220 W Cold Spring Ln Baltimore MD 21210-2802 Ph: (410) 663-4476 | Ideal Wellness LLC 220 W Cold Spring Ln Baltimore MD 21210-2802 Ph: (410) 662-4476 |
| NPI Number | 1477365849 |
|---|---|
| Provider Enumeration Date | 01/23/2025 |
| Last Update Date | 10/08/2026 |
| Certification Date | 10/08/2026 |
| Medicare PECOS PAC ID | 2961920467 |
|---|---|
| Medicare Enrollment ID | O20250519001765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477365849 | NPI | - | NPPES |
| 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 | Michael Dorn |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467460394 PECOS PAC ID: 2062690928 Enrollment ID: I20110623000124 |
| Provider Name | Hellen Perpetual Nyamu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295497121 PECOS PAC ID: 7911399225 Enrollment ID: I20220131001730 |
| Provider Name | Jamesha Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669053385 PECOS PAC ID: 3375947203 Enrollment ID: I20221018002582 |
| Provider Name | Cristin Crooks Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588457899 PECOS PAC ID: 9739679390 Enrollment ID: I20251103004105 |
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