MEDHEALTH@WAVERLY – NPI #1548652753
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

MEDHEALTH@WAVERLY is a provider located in BALTIMORE, MD. NPPES has assigned the NPI number 1548652753 to MEDHEALTH@WAVERLY on February 25, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDHEALTH@WAVERLY” is a dba name, the actual legal business name for this organization is JOHNNYCARES, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 11 years ago on Aug 12, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDHEALTH@WAVERLY below.

NPI Profile for
JOHNNYCARES, INC.

NPI Number
1548652753
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHNNYCARES, INC.
Doing Business As (dba): MEDHEALTH@WAVERLY
Primary location
3028 GREENMOUNT AVE
BALTIMORE, MD 21218-3938
Phone: (410) 467-6040 Fax:
Mailing address
1734 MARYLAND AVE
BALTIMORE, MD 21201-5804
Phone: (410) 467-6040 Fax: (410) 467-5944
Organization Subpart
Yes - MEDHEALTH@WAVERLY is subpart of another organization.
Authorized Official
WILLIAM GREEN
MANAGING AGENT
Phone: (410) 467-6040
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant
101YM0800X
- Counselor / Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.