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NPI · 1366739179 · NPPES-sourced

Maryland Healing Waters, LLC

ActiveInternal Medicine
NPI Number
1366739179
Type 2 · Organisation
Taxonomy Code
207R00000X
Contact
(410) 761-7901
License MD · D25559
Last Updated
Enumerated
Primary practice addressMD · 21061-9307
1414 Crain Hwy N Ste 6aGlen Burnie, MD 21061-9307
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About this NPIWhat this record shows.

NPI 1366739179 is registered to Maryland Healing Waters, LLC, a healthcare organisation classified as "Internal Medicine" and located at 1414 Crain Hwy N Ste 6a in Glen Burnie, Maryland. The organisation's authorised official is Lawrence Vidaver. The organisation has been enumerated in the NPI registry since 2011.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Maryland Healing Waters, LLC accepts. To confirm in-network status with your specific health plan, contact Maryland Healing Waters, LLC directly at (410) 761-7901.

Frequently asked

Yes. NPI 1366739179 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Internal Medicine physicians (internists) specialise in the prevention, diagnosis, and treatment of diseases in adults, often coordinating care across multiple subspecialties.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (410) 761-7901.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Maryland Healing Waters, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207R00000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Internal Medicine providers in Maryland.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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