WAVERLY HEALTH & FITNESS CENTER
NPI 1962899955
Nurse Practitioner in Baltimore, MD

NPI Status: Active since April 17, 2015

Contact Information

3028 GREENMOUNT AVE
BALTIMORE, MD
ZIP 21218
Phone: (410) 467-6040
Fax: (410) 467-5944

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  • Organization
  • Nurse Practitioner

About WAVERLY HEALTH & FITNESS CENTER

This page provides the complete NPI Profile along with additional information for Waverly Health & Fitness Center, a provider established in Baltimore, Maryland operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1962899955 assigned on April 2015. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Waverly Health & Fitness Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Waverly Health & Fitness Center. The authorized official of this NPI record is Mr. William Green (Managing Agent)

NPI
1962899955
Provider Legal Name
JOHNNY CARES INC
Other Organization Name
WAVERLY HEALTH & FITNESS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3028 GREENMOUNT AVE BALTIMORE, MD 21218
Location Phone
(410) 467-6040
Location Fax
(410) 467-5944
Mailing Address
1734 MARYLAND AVE BALTIMORE, MD 21201
Mailing Phone
(410) 467-6040
Mailing Fax
(410) 467-5944
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-17-2015
Last Update Date
04-17-2015
Code Navigator

A nurse practitioner (NP) like Waverly Health & Fitness Center is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WILLIAM GREEN

Authorized Official Title
MANAGING AGENT
Authorized Official Phone
(410) 467-6040

Reviews for WAVERLY HEALTH & FITNESS CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962899955
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2912216918910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 6 + 9 + 1 + 8 + 9 + 1 + 0 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1962899955 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144297334 LELIN CHAO MD
Individual
Family Medicine3028 GREENMOUNT AVE
BALTIMORE, MD 21218
(410) 467-6040
1386804144 JASHOMAN BANERJEE M.D.
Individual
Obstetrics & Gynecology3028 GREENMOUNT AVE
BALTIMORE, MD 21218
(410) 467-6040
1548240302PEOPLES COMMUNITY HEALTH CENTER INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))3028 GREENMOUNT AVE
BALTIMORE, MD 21218
(410) 467-6040
1003293218JOHNNY CARES, INC
Organization
Nurse Practitioner (Family)3028 GREENMOUNT AVE
BALTIMORE, MD 21218
(410) 467-6040
1548652753JOHNNYCARES, INC.
Organization
Family Medicine3028 GREENMOUNT AVE
BALTIMORE, MD 21218
(410) 467-6040
1932177730 RICHELLE SHARON GASKIN MD
Individual
Obstetrics & Gynecology3028 GREENMOUNT AVE
BALTIMORE, MD 21218
(410) 467-6040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962899955, enumerated in the NPI registry as an "organization" on April 17, 2015

The provider is located at 3028 Greenmount Ave Baltimore, Md 21218 and the phone number is (410) 467-6040

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

This NPI record was last updated on April 17, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.