I Bar Wellness Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD034990 Issued in DC

Legal business name

I BAR WELLNESS CENTER LLC

Practice address

1263 Evarts St NE
Washington, DC 20018-3710

Phone

(202) 957-3590

NPI assigned

Jan 11, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nayo Wills, MD

Title

Ceo, Owner

Phone

(202) 957-3590

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1003186859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 EVARTS ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183710",
            "telephone_number": "202-957-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 EVARTS ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183710",
            "telephone_number": "202-957-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I BAR WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "NAYO",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "202-957-3590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "DC",
            "license": "MD034990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Washington, DC by specialty
• Primary Care Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.