CHESAPEAKE WELLNESS CENTER – NPI #1285221093
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

CHESAPEAKE WELLNESS CENTER is a provider located in CHESTERTOWN, MD. NPPES has assigned the NPI number 1285221093 to CHESAPEAKE WELLNESS CENTER on December 28, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 5 years ago on Feb 05, 2021. 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 CHESAPEAKE WELLNESS CENTER below.

NPI Profile for
CHESAPEAKE WELLNESS CENTER

NPI Number
1285221093
Enumeration Date

(more than 5 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
CHESAPEAKE WELLNESS CENTER
Primary location
818 HIGH ST
CHESTERTOWN, MD 21620-1152
Phone: (410) 275-8156 Fax: (877) 433-6830
Mailing address
PO BOX 669
CECILTON, MD 21913-0669
Phone: (410) 275-8156 Fax: (877) 433-6830
Organization Subpart
Yes - CHESAPEAKE WELLNESS CENTER is subpart of another organization.
Authorized Official
JANE HYSKELL
CREDENTIALING AGENT
Phone: (814) 938-8263
Updated
Certification Date
Feb 05, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHESAPEAKE WELLNESS CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD627009300
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
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
PAUL KATZ
Content Type
OTHER
Affiliation
N
Endpoint Location
818 HIGH ST STE 2,
CHESTERTOWN, MD 77025-1669