# WELLSPRING FAMILY MEDICINE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194744359
- **Authorized official:** SHAINA SATURDAY (CFO)
- **Authorized official phone:** (301) 334-7855

## Contact information

- **Practice address:** 311 N 4TH ST STE 1, OAKLAND, MD 21550-1371
- **Practice address phone:** (301) 334-7855
- **Practice address fax:** (833) 398-2061
- **Mailing address:** 311 N 4TH ST, SUITE 1, OAKLAND, MD 21550-1395
- **Mailing address phone:** (301) 334-7855
- **Mailing address fax:** (301) 334-7828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0061801 | MD | Yes |
| 207Q00000X | Family Medicine Physician | H0064705 | MD | — |
| 207V00000X | Obstetrics & Gynecology Physician | D0061801 | MD | — |
| 207V00000X | Obstetrics & Gynecology Physician | H0064705 | MD | — |
| 363A00000X | Physician Assistant | C0001983 | MD | — |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 03/28/2025