HEALING VESSEL MEDICAL ASSOCIATES LLC
NPI 1770085029
Family Medicine in Bowie, MD

Q: What is Healing Vessel Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 02, 2018CLIA 21D2146180 · Waiver

14903 DENNINGTON DR, BOWIE, MD 20721(301) 335-3941 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2018, Mar 2, 2018 (2 updates tracked since 2018).

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About Healing Vessel Medical Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALING VESSEL MEDICAL ASSOCIATES LLC (NPI 1770085029) is a healthcare organization registered as a family medicine in Bowie, Maryland and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Evelyn Omoregbee, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1770085029

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHEALING VESSEL MEDICAL ASSOCIATES LLC

Location Address14903 DENNINGTON DRBowie, MD 20721-3277

Mailing Address14903 Dennington DrBowie, MD 20721-3277 · (301) 335-3941

Phone(301) 335-3941

Organization SubpartNo

Authorized OfficialEvelyn OmoregbeeManaging Director · (301) 335-3941

Enumeration DateMarch 2, 2018

Last NPPES UpdateMay 7, 20182 updates tracked since enumeration

✔ NPI 1770085029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

14903 DENNINGTON DR, Bowie, MD 20721

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2146180

Healing Vessel Medical Associates, LLC · Bowie, MD

Active · expires Mar 22, 2028

CLIA Number21D2146180

Laboratory TypePractitioner Other

Certificate Effective DateMarch 23, 2026

Certificate Expiration DateMarch 22, 2028

Laboratory DirectorEvelyn A. Omoregbee Fnp-Bc Crn

Laboratory Phone(301) 335-3941

Laboratory LocationHealing Vessel Medical Associates, LLC3060 Mitchellville Road Suite 212, Bowie, MD 20716

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healing Vessel Medical Associates LLC's NPI number?

The NPI number for Healing Vessel Medical Associates LLC is 1770085029. It was assigned to this organization in the NPPES registry on March 2, 2018.

Where is Healing Vessel Medical Associates LLC located?

Healing Vessel Medical Associates LLC is located at 14903 Dennington Dr, Bowie, MD 20721. The listed phone number is (301) 335-3941.

What is Healing Vessel Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Healing Vessel Medical Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2146180) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healing Vessel Medical Associates LLC was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.